Individual provider Active NPI

Alireza Tabesh, MD

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1356482392
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A104245 Issued in CA
Practice address
1701 E Cesar E Chavez Ave Ste 510
Los Angeles, CA 90033-2488
Phone
(323) 987-1301
Fax
(323) 987-1380
NPI assigned
Feb 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A104245 CA Primary

Addresses

Primary practice location

1701 E Cesar E Chavez Ave Ste 510
Los Angeles, CA 90033-2488

Mailing address

PO Box 51741
Los Angeles, CA 90051-6041
Phone (323) 987-1362

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
I20090126000063 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 7113911363 Reassigns benefits to 4 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Florida College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Memorial Medical Group IncGroup PAC ID 9436042967, 12 clinicians

Practice addresses (Care Compare)

1701 E Cesar E Chavez Ave
Suite 510
Los Angeles, CA 90033-2488
Phone (323) 987-1362

2000 Stadium Way
Los Angeles, CA 90026-2606
Phone (213) 250-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy122
Upper gastrointestinal (GI) endoscopy for acid reflux162
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alireza Tabesh MD Inc Gastroenterology CurrentSince Jan 6, 2019 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jan 27, 2018 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jan 27, 2018 Accepting new patients
Ariel Malamud, a Medical Corporation Gastroenterology CurrentSince Aug 17, 2014 Accepting new patients
White Memorial Medical Group, Inc. Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients
University of Maryland Medical Center, LLC Past Accepting new patients

Locations

2251 W Rosecrans Ave
Ste 1821
Compton, CA 90222
Phone (424) 338-8675

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8792

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

201 S Alvarado St
Ste 407
Los Angeles, CA 90057
Phone (213) 440-2040

1701 E Cesar E Chavez Ave
Ste 100
Los Angeles, CA 90033
Phone (323) 987-1309

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1701 E Cesar E Chavez Ave
Ste 510
Los Angeles, CA 90033
Phone (323) 987-1309

1513 S Grand Ave
Ste 330
Los Angeles, CA 90015
Phone (213) 440-2040

2000 Stadium Way
Los Angeles, CA 90026
Phone (213) 202-6886

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

14120 Alondra Blvd
Ste C
Santa Fe Springs, CA 90670

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: alireza.tabesh.1@27758.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1356482392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51741",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900516041",
            "telephone_number": "323-987-1362",
            "fax_number": "323-987-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332488",
            "telephone_number": "323-987-1301",
            "fax_number": "323-987-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABESH",
        "first_name": "ALIREZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A104245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.