Kamran Tabib

Primary specialty

DentistTaxonomy code 122300000X

License

B45203 Issued in CA

Practice address

6900 Reseda Blvd Ste C
Reseda, CA 91335-4266

Phone

(818) 705-0200

Fax

(818) 705-7430

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376762393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 RESEDA BLVD STE C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354266",
            "telephone_number": "818-705-0200",
            "fax_number": "818-705-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 RESEDA BLVD STE C",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354266",
            "telephone_number": "818-705-0200",
            "fax_number": "818-705-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIB",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "B45203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Swimmer, PH.D.
• Jennifer D Szabo, M.S, CCC-SLP
• Justina Taban, LMFT
• Nadya Natalia Tabarez Gonzalez
• Tabib Dental Corporation
• David Taftian, D.O.
• Sarah Tallentire, PSY.D.
• Tam Tran DDS Inc
• Mercedes Tamayo, MENTAL HEALTH WORKER
• Tampa Surgical Center LLC

• Dentist in Reseda, CA
• Providers in Reseda, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.