Keven Tagdiri, MD, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01596 Issued in CA

Legal business name

KEVEN TAGDIRI, MD, INC.

Practice address

4401 Manchester Ave
Suite 103
Encinitas, CA 92024-4938

Phone

(858) 756-3021

NPI assigned

Aug 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Keven Tagdiri, M.D.

Title

President

Phone

(858) 756-3021

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Keven Tagdiri MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Keven Tagdiri M.D., Inc.

  • Internal Medicine Physician
  • Encinitas, CA
  • NPI 1760722433
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2034/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1407858178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 MANCHESTER AVE",
            "address_2": "SUITE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244938",
            "telephone_number": "858-756-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MANCHESTER AVE",
            "address_2": "SUITE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244938",
            "telephone_number": "858-756-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVEN TAGDIRI, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "TAGDIRI",
        "authorized_official_first_name": "KEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-756-3021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "01596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Kaye-Boothe Kepple, PHD, FNP
• Hannah Shull Kern, M.D.
• Reid Kessler, PSYD
• Carol Dawn Kesten-Selhay, M.S., MFCC
• Keven Tagdiri M.D., Inc.
• Chil Khakham, ND
• Renuka Kharkar, M.D.
• Datis Kharrazian, D.C., D.H.SC.
• Wendy Ann Khentigan, MD
• Avid Khorram, PHD

• Internal Medicine Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.