Talia Medical Group, a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

015430 Issued in CA

Legal business name

TALIA MEDICAL GROUP, A PROFESSIONAL CORPORATION

Practice address

41593 Winchester Rd
Ste 101
Temecula, CA 92590-4860

Phone

(951) 719-1111

Fax

(951) 719-1122

NPI assigned

Sep 22, 2006

Last updated

Aug 3, 2007By 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

Mrs. Michael S Basch, M.D.NPI 1790889350

Title

Owner

Phone

(951) 719-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Michael S Basch, M.D.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1790889350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1245330042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD",
            "address_2": "STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904860",
            "telephone_number": "951-719-1111",
            "fax_number": "951-719-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD",
            "address_2": "STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904860",
            "telephone_number": "951-719-1111",
            "fax_number": "951-719-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALIA MEDICAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "BASCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-719-1111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "015430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408935",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Talamantes
• Angela Elizabeth Talarzyk, LCSW
• Kristy Eve Talavera, DPT
• Caitlin Irene Talbot, LCSW
• Talcada
• Jade Simone Taliulu, AA, RBT
• Kaitlyn Talley
• Tamara M. Leonas D.O., Inc.
• Nathanael Tamayo
• Ellen Tapia, RN, BSN

• Specialist in Temecula, CA
• Providers in Temecula, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.