Individual provider Active NPI

Tara Nowakhtar

  • Obstetrics & Gynecology Physician
  • Playa Vista, CA
National Provider Identifier
1255746475
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A16591 Issued in CA
Practice address
12746 W. Jefferson Blvd Suite 4000
Playa Vista, CA 90094-5162
Phone
(424) 315-2277
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101021203 MI
Obstetrics & Gynecology Physician 207V00000X 20A16591 CA Primary

Addresses

Primary practice location

12746 W. Jefferson Blvd Suite 4000
Playa Vista, CA 90094-5162

Mailing address

4140 W 190TH St
Torrance, CA 90504-5162

Other practice location 1

6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162
Phone (818) 763-8836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190424001645 CA Practitioner - Obstetrics/Gynecology 3779893961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Community HealthcareGroup PAC ID 4284601824, 23 clinicians

Practice addresses (Care Compare)

6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162
Phone (818) 301-6307

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16591CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 19, 2023 Accepting new patients
Valley Community Healthcare CurrentSince Jun 14, 2025 Accepting new patients
Valley Community Healthcare CurrentSince Jun 14, 2025 Accepting new patients
Cedars-Sinai Medical Center PastSince Jul 2, 2023 Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

6801 Coldwater Canyon Ave
North Hollywood, CA 91605
Phone (818) 301-6307

12746 W Jefferson Blvd
Ste 2000
Playa Vista, CA 90094
Phone (424) 315-2220

12746 W Jefferson Blvd
Ste 4000
Playa Vista, CA 90094
Phone (424) 315-2202

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Interoperability endpoints

  • Direct secure messaging: tara.nowakhtardo.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1255746475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12746 W. JEFFERSON BLVD SUITE 4000",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900945162",
            "telephone_number": "424-315-2277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Coldwater Canyon Ave",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916055162",
            "country_code": "US",
            "telephone_number": "818-763-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWAKHTAR",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101021203",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A16591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa Vista, CA

Sources for this page

Verify at the official NPI Registry.