Mehryar Ray Taban, M.D., F.A.C.S.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A99093 Issued in CA

Practice address

9735 Wilshire Blvd.
Suite 204
Beverly Hills, CA 90212

Phone

(310) 278-1836

Fax

(310) 278-1828

NPI assigned

Jun 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ray Taban Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 4, 2021 through Feb 4, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1124223433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "address_2": "STE 319",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122111",
            "telephone_number": "310-278-1836",
            "fax_number": "310-278-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD.",
            "address_2": "SUITE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-278-1836",
            "fax_number": "310-278-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAN",
        "first_name": "MEHRYAR",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A99093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A990930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "TABAN",
            "credential": "M.D., F.A.C.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicholas R. Szumski, M.D.
• Lillian Szydlo, M.D.
• T. Y. Lee
• Steven W Tabak, M.D.
• Brandon Taban
• Ramona Tabib, M.D.
• Navvab Tadjvar
• Farnoosh Taghadosi, M.D.
• Amir H Tahernia, MD
• Youssef Tahiri, MD, MSC, FRCSC

• Ophthalmology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.