Maternal & Fetal Medicine Center of Southern Calif. Inc

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

MATERNAL & FETAL MEDICINE CENTER OF SOUTHERN CALIF. INC

Practice address

17220 Rayen St
Sherwood Forest, CA 91325-2919

Phone

(818) 632-6244

Fax

(818) 882-2466

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Khalil Ma Tabsh, M.D.NPI 1215968474

Title

President

Phone

(310) 701-9521

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khalil M Tabsh, M.D.

  • Maternal & Fetal Medicine Physician
  • Los Angeles, CA
  • NPI 1215968474
  NPD (past) Authorized official
• Kareem Tabsh

  • Maternal & Fetal Medicine Physician
  • Santa Monica, CA
  • NPI 1225437635

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1235697244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 RAYEN ST",
            "city": "SHERWOOD FOREST",
            "state": "CA",
            "postal_code": "913252919",
            "telephone_number": "818-632-6244",
            "fax_number": "818-882-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 RAYEN ST",
            "city": "SHERWOOD FOREST",
            "state": "CA",
            "postal_code": "913252919",
            "telephone_number": "818-632-6244",
            "fax_number": "818-882-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERNAL & FETAL MEDICINE CENTER OF SOUTHERN CALIF. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "TABSH",
        "authorized_official_first_name": "KHALIL",
        "authorized_official_middle_name": "MA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-701-9521",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maternal & Fetal Medicine Physician in Sherwood Forest, CA
• Providers in Sherwood Forest, CA by specialty
• Maternal & Fetal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.