Tannaz Ebrahimi Adib, MD Apc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A121761 Issued in CA

Legal business name

TANNAZ EBRAHIMI ADIB, MD APC

Practice address

3927 Waring Rd Ste D
Oceanside, CA 92056-4458

Phone

(760) 990-7585

Fax

(951) 750-5089

NPI assigned

Mar 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tannaz Ebrahimi Adib, M.D.

Title

President

Phone

(404) 488-6364

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14038/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546300800000",
    "number": "1144752833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 WARING RD STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564458",
            "telephone_number": "760-990-7585",
            "fax_number": "951-750-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 WARING RD STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564458",
            "telephone_number": "760-990-7585",
            "fax_number": "951-750-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNAZ EBRAHIMI ADIB, MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2019-01-01",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMI ADIB",
        "authorized_official_first_name": "TANNAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-488-6364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A121761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsu-En Tan, MS, OTR/L, CHT, CKTP
• David A. Tanen, M.D.
• Manuel Tanguma III, M.D.
• Lillian Tankersley
• Stephanie Tanksley, RD
• Patricia Tapia
• Lisa Tapiafleck, PSYD
• Brandilyn Labelle Tarry
• Diane Tarut
• Susannah Claire Tate, MSWI

• Gynecology Physician in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.