NPIMap

Individual provider Active NPI

Harold A Tabaie, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Los Angeles, CA
National Provider Identifier
1346286663
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
20A4475 Issued in CA
Practice address
400 N Ford Blvd
Los Angeles, CA 90022-1122
Phone
(818) 577-9082
Fax
(949) 502-8887
NPI assigned
Jun 22, 2006
Last updated
Jun 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X OS5710 FL
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 20A4475 CA Primary

Addresses

Primary practice location

400 N Ford Blvd
Los Angeles, CA 90022-1122

Mailing address

18375 Ventura Blvd # 539
Tarzana, CA 91356-4218
Phone (714) 777-1012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000486 CA Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic Surgery 6507991395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery, Thoracic Surgery
Education
Michigan State University College of Osteopathic Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Family ClinicGroup PAC ID 2466805296, 2 clinicians

Practice addresses (Care Compare)

4082 Whittier Blvd
Suite 101
Los Angeles, CA 90023-2559
Phone (805) 910-7390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal309
Leg revascularization (restoring blood flow)16
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Cardiothoracic and Vascular Surgeons CurrentSince Aug 1, 2023 Accepting new patients
Golden State Family Clinic CurrentSince Nov 12, 2023 Accepting new patients
Bradenton Cardiac Surgeons, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jul 1, 2003 Accepting new patients
Emanuel Medical Group, Inc. Past Accepting new patients
Sarasota Cardiovascular & Thoracic Surgical Associates PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
West Regional Cardiothoracic & Vascular Surgeons W R Vein Center Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

5475 E La Palma Ave
Ste 204
Anaheim, CA 92807
Phone (714) 970-9900

3444 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 264-2670

4082 Whittier Blvd
Ste 101
Los Angeles, CA 90023
Phone (323) 261-0225

4082 Whittier Blvd
Ste 102
Los Angeles, CA 90023
Phone (323) 261-2111

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1346286663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18375 VENTURA BLVD # 539",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564218",
            "telephone_number": "714-777-1012",
            "fax_number": "949-502-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N FORD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221122",
            "telephone_number": "818-577-9082",
            "fax_number": "949-502-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAIE",
        "first_name": "HAROLD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "OS5710",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "20A4475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.