Eli Tabarai, DMD Dental Corporation, a Professional Dental Corporation

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

ELI TABARAI, DMD DENTAL CORPORATION, A PROFESSIONAL DENTAL CORPORATION

Practice address

11980 San Vicente Blvd Ste 802
Los Angeles, CA 90049-6606

Phone

(310) 415-3521

Fax

(323) 544-2994

NPI assigned

Apr 9, 2010

Organization subpart

No

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

Authorized official

Name

Eli Tabariai, DMDNPI 1437310646

Title

Owner/ Doctor

Phone

(310) 415-3521

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eli Tabariai, D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Los Angeles, CA
  • NPI 1437310646

  Oral and Maxillofacial Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1194041533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24530",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900240530",
            "telephone_number": "310-415-3521",
            "fax_number": "323-544-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 SAN VICENTE BLVD STE 802",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496606",
            "telephone_number": "310-415-3521",
            "fax_number": "323-544-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELI TABARAI, DMD DENTAL CORPORATION, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "TABARIAI",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "310-415-3521",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIGLE SPECIALTY GROUP",
            "identifier": "193400000X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST- ORAL AND MAXILLOFACIAL SURGERY",
            "identifier": "1223S0112X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Elgueta, LCSW
• Hussain Johnee Elhaouli, LCSW
• Chaddy Elhawary
• Albert Abraham Elhiani, DPM
• Eli M Baron MD Inc
• Alexandra Elia, M.S.W.
• Madeline Elia, LCSW
• Nicolette Elia
• Eliana Lev Therapy Marriage and Family Inc.
• Alexandra Elias

• Oral & Maxillofacial Surgery (D.M.D.) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.