Azita Taghavy - a Professional Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

AZITA TAGHAVY - A PROFESSIONAL CORP

Practice address

21 Tamal Vista Blvd Ste 110
Corte Madera, CA 94925-1122

Phone

(415) 924-5010

Fax

(415) 924-5210

NPI assigned

Jun 29, 2021

Last updated

Jul 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Azita Taghavy, MDNPI 1295980431

Title

President

Phone

(415) 924-5010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Azita Taghavy, M.D.

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1295980431

  Single Specialty

  Medicare reassignment NPD Authorized official
• William J McAllister Jr., M.D.

  • Internal Medicine Physician
  • Corte Madera, CA
  • NPI 1821072646
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1205406477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 110",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251122",
            "telephone_number": "415-924-5010",
            "fax_number": "415-924-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TAMAL VISTA BLVD STE 110",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251122",
            "telephone_number": "415-924-5010",
            "fax_number": "415-924-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZITA TAGHAVY - A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "TAGHAVY",
        "authorized_official_first_name": "AZITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-924-5010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Andreas, DNP, FNP-BC, APRN
• Anytime Dental Care
• Debra Beth Anziano, PA-C
• Zeina Asfour-Grifoni, MPT
• Pamela Margaret Ashkenazy, LMFT, PH.D.
• Sarah N Azmoodeh, OD
• Burke Thomas Baldwin, MSW, LCSW
• Andrew Andras Barat, ASW
• Suzanne Renee Barbour, M.S.,CCC
• Matthew Baron

• Internal Medicine Physician in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.