Individual provider Active NPI

Michael P. Tabibian, M.D.

  • Dermatology Physician
  • Los Alamitos, CA
National Provider Identifier
1366470338
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G80532 Issued in CA
Practice address
3801 Katella Ave
Ste 430
Los Alamitos, CA 90720-3338
Phone
(562) 799-3330
Fax
(562) 799-3399
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G80532 CA Primary

Addresses

Primary practice location

3801 Katella Ave
Ste 430
Los Alamitos, CA 90720-3338

Mailing address

2733 Aqua Verde Cir
Los Angeles, CA 90077-1502
Phone (310) 738-6006

Other names 1

  • Parham M. Tabibian Former name

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
I20041004001191 CA Practitioner - Dermatology 2466411673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parham Tabibian MD IncGroup PAC ID 9739284704, 9 clinicians

Practice addresses (Care Compare)

3851 Katella Ave
Suite 105
Los Alamitos, CA 90720-3389
Phone (562) 799-3330

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
96.63 of 100Reported as individual
Quality
93.87
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision142
Removal of tissue50
Removal of skin lesions2427
Removal of skin cancer374
Removal or shaving of skin growth180
Skin biopsy709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80532CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parham Tabibian MD Inc Dermatology Current Accepting new patients
Parham Tabibian MD Inc Dermatology CurrentSince Sep 1, 2000 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

30300 Agoura Rd
Ste 200
Agoura Hills, CA 91301
Phone (818) 706-3744

29525 Canwood St
Ste 220
Agoura Hills, CA 91301
Phone (818) 706-3744

5471 La Palma Ave
Ste 202
La Palma, CA 90623
Phone (562) 486-0023

3851 Katella Ave
Ste 105
Los Alamitos, CA 90720
Phone (562) 799-3330

3801 Katella Ave
Ste 430
Los Alamitos, CA 90720
Phone (562) 431-5000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 2

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1366470338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 AQUA VERDE CIR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771502",
            "telephone_number": "310-738-6006",
            "fax_number": "818-706-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "STE 430",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-799-3330",
            "fax_number": "562-799-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIBIAN",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G80532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARHAM",
            "last_name": "TABIBIAN",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.