Mumtaz G Tabbaa, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A54688 Issued in CA

Practice address

1441 Constitution Blvd
Salinas, CA 93906-3100

Phone

(831) 755-4111

Fax

(831) 755-4087

NPI assigned

Jul 8, 2006

Last updated

Mar 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Natividad Medical Center Hospital, Salinas, CA, CCN 050248

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• County of Monterey

  dba Natividad Medical Center

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255
  Medicare reassignment Care Compare group
• Advanced Gastroenterology of Monterey County Medical Corp

  • Gastroenterology Physician
  • Salinas, CA
  • NPI 1285780692
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Monterey

  dba Natividad Medical Center

  • General Acute Care Hospital
  • Salinas, CA
  • NPI 1205863255
  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1306879036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 DEL MONTE CTR STE 173",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406156",
            "telephone_number": "831-755-4111",
            "fax_number": "831-372-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4111",
            "fax_number": "831-755-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABBAA",
        "first_name": "MUMTAZ",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A54688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40248F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yazan Sweilem
• Vanessa Sylla, LVN
• Kendra Marie Syversen
• Steve Alexander Szaszy, MPT
• Michelle Ta
• Megan Tai
• Lior Benyamin Taich, M.D.
• Tala V. Gredinberg, D.D.S., Inc.
• Christian Rene Talamante
• Sandra Talavera, SLP

• Gastroenterology Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.

Verify at the official NPI Registry.