Active NPI
Tad T Tanoura, M.D.
- Vascular & Interventional Radiology Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- G67703
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G677030 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| G67703 | CA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare in Motion | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Pronet Imaging Medical Group, Inc. | Current | Accepting new patients | |
| Vesta Telemedicine Solutions, PC | Vascular & Interventional Radiology | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| Mayers Memorial Hospital District | Current | Accepting new patients | |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Vesta Telemedicine Solutions, PLLC | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Current | 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.
-
dba TMH Physician Partners
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
CA
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Critical Access Hospital
- Fall River Mills, CA
- NPI 1912125667
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
-
- Vascular-Interventional Technology Radiologic Technologist
- Encino, CA
- NPI 1942350889
-
- Diagnostic Radiology Physician
- Glendale, CA
- NPI 1710571153
Vascular & Interventional Radiology
-
dba Vesta Radiology Services
- Diagnostic Radiology Physician
- Glendale, CA
- NPI 1952902116
-
- Diagnostic Radiology Physician
- Tamarac, FL
- NPI 1780941864
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
dba Coastal Mobile X-Ray
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- San Diego, CA
- NPI 1194150649
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fall River Mills, CA
- NPI 1912125667
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.