Shaghayegh Tavassoli, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9861 Issued in CA

Practice address

10401 Wilshire Blvd
#201
Los Angeles, CA 90024-4609

Phone

(310) 441-3931

Fax

(310) 441-0920

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24972/brand/1/csg/1/fhir/r4
• Direct secure messaging: shaghayegh.tavassoli.1@24972.direct.athenahealth.com

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

• Beverly Hills Medical Institute Corporation

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1588234561
  Medicare reassignment NPD Authorized official
• University Muslim Medical Association Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1619700200
  NPD (past)
• University Muslim Medical Association Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1730421330
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194841809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 WILSHIRE BLVD",
            "address_2": "#201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244609",
            "telephone_number": "310-441-3931",
            "fax_number": "310-441-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 WILSHIRE BLVD",
            "address_2": "#201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244609",
            "telephone_number": "310-441-3931",
            "fax_number": "310-441-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVASSOLI",
        "first_name": "SHAGHAYEGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daria Tavana
• Laisha Tavares
• Marielle Tavares
• Azadeh Tavari, DDS, MS
• Javid D Tavari, D.O.
• Michael Lewis Tave, H.S.
• Natasha Monique Tave
• Sabrina Tavera
• Ana Lesly Tavira-Nava
• Faraz Tavoossi, DDS

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.