Active NPI
Moshe Tabak M D a Medical Corporation
- Anesthesiology Physician
- Monterey Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MOSHE TABAK M D A MEDICAL CORPORATION
- Practice address
- 201 W Garvey Ave
#201
Monterey Park, CA 91754-7418 - Phone
- (626) 280-3393
- NPI assigned
- Aug 5, 2006
- Last updated
- Jan 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moshe Tabak, M.D.
- Title
- President
- Phone
- (626) 932-2780
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | CA | Primary |
Addresses
Primary practice location
201 W Garvey Ave
#201
Monterey Park, CA 91754-7418
Mailing address
PO Box 3098
Torrance, CA 90510-3098
Phone (310) 792-3914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A402570 | Medicaid | CA | |
| 00A402570 | Other | CA | BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
16055 Ventura Blvd
Encino, CA 91436
Phone (818) 436-9381
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Glendale, CA
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- Psychiatry Physician
- Encino, CA
- NPI 1922121946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421884800000",
"number": "1386653996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3098",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103098",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W GARVEY AVE",
"address_2": "#201",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547418",
"telephone_number": "626-280-3393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOSHE TABAK M D A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2015-01-22",
"status": "A",
"authorized_official_last_name": "TABAK",
"authorized_official_first_name": "MOSHE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-932-2780",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A402570",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A402570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.