Individual provider Active NPI

Tad T Tanoura, M.D.

  • Vascular & Interventional Radiology Physician
  • Torrance, CA
National Provider Identifier
1235248295
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G67703 Issued in CA
Practice address
21840 Normandie Ave
Ste. 500
Torrance, CA 90502-2047
Phone
(310) 222-5163
Fax
(310) 222-5173
NPI assigned
Aug 30, 2006
Last updated
Feb 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X G67703 CA Primary

Addresses

Primary practice location

21840 Normandie Ave
Ste. 500
Torrance, CA 90502-2047

Mailing address

21840 Normandie Ave
Ste. 500
Torrance, CA 90502-2047
Phone (310) 222-5163

Other identifiers 1

IdentifierTypeStateIssuer
00G677030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040524001475 CA Practitioner - Interventional Radiology 5395726681 Reassigns benefits to 8 organizations
I20260220002469 FL Practitioner - Diagnostic Radiology 5395726681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 877-5183

28429 Covecrest Dr
Rancho Palos Verdes, CA 90275-3320
Phone (850) 431-4556

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G67703CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare in Motion CurrentSince Jun 20, 2024 Accepting new patients
County of Los Angeles CurrentSince Mar 1, 2004 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Dec 28, 2025 Accepting new patients
Pronet Imaging Medical Group, Inc. CurrentSince May 15, 2020 Accepting new patients
Vesta Telemedicine Solutions, PC Vascular & Interventional Radiology CurrentSince May 20, 2023 Accepting new patients
County of Los Angeles CurrentSince Mar 1, 2004 Accepting new patients
Mayers Memorial Hospital District CurrentSince Apr 1, 2025 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince May 15, 2020 Accepting new patients
Vesta Telemedicine Solutions, PLLC CurrentSince Nov 12, 2023 Accepting new patients
Beverly Radiology Medical Group III CurrentSince May 15, 2020 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Vascular & Interventional Radiology Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

43563 State Highway 299 E
Fl River Mls, CA 96028
Phone (530) 336-5511

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

1000 W Carson St
#480
Torrance, CA 90502
Phone (310) 222-5026

1260 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 422-5413

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1235248295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "address_2": "STE. 500",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5163",
            "fax_number": "310-222-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21840 NORMANDIE AVE",
            "address_2": "STE. 500",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905022047",
            "telephone_number": "310-222-5163",
            "fax_number": "310-222-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANOURA",
        "first_name": "TAD",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G67703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G677030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.