Active NPI
Khalil M Tabsh, M.D.
- Maternal & Fetal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1215968474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- C37937
- Practice address
- 200 Medical Plaza
Suite 430
Los Angeles, CA 90095-0001 - Phone
- (310) 794-7274
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | C37937 | CA | Primary |
Addresses
Primary practice location
200 Medical Plaza
Suite 430
Los Angeles, CA 90095-0001
Mailing address
200 UCLA Medical Plaza, Suite 430
Los Angeles, CA 90095
Phone (310) 208-4492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C379370 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37937 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients | |
| Maternal & Fetal Medicine Center of Southern Calif. Inc | Maternal & Fetal Medicine | Past | Accepting new patients |
| UCLA Periodontal Clinic | Past | Accepting new patients | |
| Barry R. Halpern, a Prof Corp | Past | Accepting new patients |
Interoperability endpoints
- ktabsh473325@oc.providencedirect.org
Organizations & group practices 5
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.
-
- Maternal & Fetal Medicine Physician
- Sherwood Forest, CA
- NPI 1235697244
-
- Neonatal-Perinatal Medicine Physician
- Northridge, CA
- NPI 1508057837
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- Periodontics
- Los Angeles, CA
- NPI 1376641720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1215968474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLAZA, SUITE 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "310-208-4492",
"fax_number": "310-267-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL PLAZA",
"address_2": "SUITE 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-794-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABSH",
"first_name": "KHALIL",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "C37937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C379370",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.