Raffi Tachdjian, MD a Medical Corporation

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

A88034 Issued in CA

Legal business name

RAFFI TACHDJIAN, MD A MEDICAL CORPORATION

Practice address

1301 20TH St Ste 380
Santa Monica, CA 90404

Phone

(310) 998-0060

Fax

(310) 998-0063

NPI assigned

Nov 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Raffi Tachdjian, M.D.NPI 1447376454

Title

Owner

Phone

(310) 998-0060

Specialties & licenses 1

Addresses

Other names 1

• AIRE Medical LA Doing business as

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

Locations

Practitioners 1

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

• Raffi Tachdjian, M.D.

  • Allergy & Immunology Physician
  • Santa Monica, CA
  • NPI 1447376454
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1346647120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 380",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042087",
            "telephone_number": "310-998-0060",
            "fax_number": "310-998-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 380",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-998-0060",
            "fax_number": "310-998-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFFI TACHDJIAN, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-22",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "TACHDJIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-998-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A88034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIRE Medical LA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Rada, DO
• Estreniah Radcliffe
• Rachael Leah Radis, LCSW
• Nan Radulovic, LCSW
• Jourak Rick Rafael, DPT, OCS, CSCS
• Raffy Karamanoukian MD Inc.
• Asim Rafique, MD
• Sassan Rafizadeh, M.D., PH.D.
• Hava Rahimian, LMFT
• Monika Rahimian, FNP

• Allergy Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.