Neda Tahami, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

59896 Issued in CA

Practice address

30448 Rancho Viejo Rd Ste 150
San Juan Capistrano, CA 92675-1572

Phone

(949) 677-7704

NPI assigned

Mar 10, 2020

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: neda.tahami.2@21138.direct.athenahealth.com

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

• Medhero San Clemente, a Professional Medical Corporation

  • Urgent Care Clinic/Center
  • San Clemente, CA
  • NPI 1558736520
  Medicare reassignment

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1396370326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CALLE AMANECER STE 115",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736226",
            "telephone_number": "949-677-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30448 RANCHO VIEJO RD STE 150",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751572",
            "telephone_number": "949-677-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHAMI",
        "first_name": "NEDA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "59896",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunfinity
• Sunshine Behavioral Health LLC (Monarch Shores)
• Surf and Turf Therapy
• Victoria Ta
• Dorothy A Tagan, RN CPNP
• Rafat Talukder
• Carolyn Teas, CATCI
• Telehelp LLC
• Nubia Tellis, M.A, BCBA
• Temps, the Medical Pro, Inc. (Alerra Home Health)

• Medical Physician Assistant in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.