Individual provider Active NPI

Payam M Tehrani, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1144511338
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A 126635 Issued in CA
Practice address
PO Box 641519
Los Angeles, CA 90064-6519
Phone
(833) 379-6863
Fax
(833) 379-6863
NPI assigned
Apr 22, 2011
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A 126635 CA Primary

Addresses

Primary practice location

PO Box 641519
Los Angeles, CA 90064-6519

Mailing address

PO Box 641519
Los Angeles, CA 90064-6519
Phone (833) 379-6863

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
I20140923000272 CA Practitioner - Internal Medicine 6709005861 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A 126635CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Wound Care Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1144511338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641519",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900646519",
            "telephone_number": "833-379-6863",
            "fax_number": "833-379-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 641519",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900646519",
            "telephone_number": "833-379-6863",
            "fax_number": "833-379-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "PAYAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 126635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.