Individual provider Active NPI

Omar Zahoor Tahir, MD

  • Vascular Surgery Physician
  • Apple Valley, CA
National Provider Identifier
1316102544
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
C180326 Issued in CA
Practice address
16008 Kamana Rd Ste 101
Apple Valley, CA 92307-1376
Phone
(760) 683-2199
Fax
(888) 355-9670
NPI assigned
Jul 28, 2008
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X C180326 CA Primary

Addresses

Primary practice location

16008 Kamana Rd Ste 101
Apple Valley, CA 92307-1376

Mailing address

18092 Wika Rd Ste 220
Apple Valley, CA 92307-2132
Phone (760) 683-2199

Other identifiers 1

IdentifierTypeStateIssuer
C180326OtherCASTATE LICENSE

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
I20220805000867 CA Practitioner - Vascular Surgery 0840584454 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Vein and Vascular SpecialistsGroup PAC ID 1951732759, 6 clinicians

Practice addresses (Care Compare)

16008 Kamana Rd
Suite 101
Apple Valley, CA 92307-1376
Phone (760) 683-2199

71780 San Jacinto Dr
BLDG I
Rancho Mirage, CA 92270-5516
Phone 76056834613

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C180326CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity of High Desert Surgery Center Vascular Surgery Current Accepting new patients
Empire Vein & Vascular Specialists Vascular Surgery CurrentSince Apr 9, 2022 Accepting new patients
Southern California Vein and Aesthetics LLC Vascular Surgery Past Accepting new patients

Locations

18092 Wika Rd
Ste 220
Apple Valley, CA 92307
Phone (760) 515-6260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGIIDD/Endpoint/EGIIDD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1316102544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD STE 220",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072132",
            "telephone_number": "760-683-2199",
            "fax_number": "888-355-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16008 KAMANA RD STE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071376",
            "telephone_number": "760-683-2199",
            "fax_number": "888-355-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHIR",
        "first_name": "OMAR",
        "middle_name": "ZAHOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "C180326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C180326",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.