Ani Tajirian, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A119900 Issued in CA

Legal business name

ANI TAJIRIAN, MD

Practice address

3300 Webster St Ste 509
Oakland, CA 94609-3149

Phone

(510) 839-2937

Fax

(510) 452-2152

NPI assigned

Dec 31, 2013

Organization subpart

No

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

Authorized official

Name

Ani L Tajirian, MDNPI 1629270897

Title

Owner/President

Phone

(510) 839-2937

Specialties & licenses 3

Addresses

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 4

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

• Ani L. Tajirian, M.D.

  • Dermatology Physician
  • Oakland, CA
  • NPI 1629270897
  Medicare reassignment Care Compare group NPD Authorized official
• Tarquin Alwattar, NP-C

  • Adult Health Nurse Practitioner
  • Oakland, CA
  • NPI 1619242393
  Medicare reassignment Care Compare group NPD
• Jason Feng Wang, MD, MS

  • Dermatology Physician
  • Oakland, CA
  • NPI 1003471467

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jessica Ying-Man Yu, PA-C

  • Physician Assistant
  • Visalia, CA
  • NPI 1932862539
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1255752796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-839-2937",
            "fax_number": "510-452-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-839-2937",
            "fax_number": "510-452-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANI TAJIRIAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "TAJIRIAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "510-839-2937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A119900",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A119900",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A119900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Angelos, DC
• Elizabeth Angiello, LAC
• Crystal J Angkratok
• Clarisa Anguiano-Robles
• Elisabel Angulo
• Jorcyelin Ani
• Catherine Anicama, PHD
• Antoinette Aniceto, OTR/L
• Olga Anikina, MD
• Bertha Ewoenam Anku, MD

• Dermatology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.