Individual provider Active NPI

Nasir Tejani, M.D.

  • Hospitalist Physician
  • Long Beach, CA
National Provider Identifier
1114008067
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A32473 Issued in CA
Practice address
711 Pepper Tree LN
Long Beach, CA 90815-4731
Phone
(562) 421-8283
Fax
(562) 420-9092
NPI assigned
Oct 18, 2006
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X A32473 CA
Neonatal-Perinatal Medicine Physician 2080N0001X A32473 CA
Hospitalist Physician 208M00000X A32473 CA Primary

Addresses

Primary practice location

711 Pepper Tree LN
Long Beach, CA 90815-4731

Mailing address

711 Peppertree Lane
Long Beach, CA 90815
Phone (562) 421-8283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922003535 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8224413521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A32473CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nasir Tejani M.D.,Inc Adolescent Medicine Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1114008067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 PEPPERTREE LANE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90815",
            "telephone_number": "562-421-8283",
            "fax_number": "562-420-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 PEPPER TREE LN",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154731",
            "telephone_number": "562-421-8283",
            "fax_number": "562-420-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJANI",
        "first_name": "NASIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A32473",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A32473",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A32473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.