Individual provider Active NPI

Michael Tehrani, M.D.

  • Internal Medicine Physician
  • Long Beach, CA
National Provider Identifier
1427320704
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A128457 Issued in CA
Practice address
1703 Termino Ave Ste 108
Long Beach, CA 90804-2126
Phone
(562) 498-2481
Fax
(562) 494-6651
NPI assigned
Feb 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A128457 CA Primary

Addresses

Primary practice location

1703 Termino Ave Ste 108
Long Beach, CA 90804-2126

Mailing address

1703 Termino Ave Ste 108
Long Beach, CA 90804-2126
Phone (562) 498-2481

Other identifiers 1

IdentifierTypeStateIssuer
113394OtherCASID # 113394

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
I20140626000844 CA Practitioner - Internal Medicine 6002031572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Docs ApcGroup PAC ID 2860928629, 23 clinicians
Michael Tehrani MD ApcGroup PAC ID 7810204575, 9 clinicians

Practice addresses (Care Compare)

1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321

Hospital & facility affiliations

  • Magic Care Home Health, Inc Home health agency, North Hollywood, CA, CCN 559294
  • Elegance Healthcare, Inc Home health agency, Encino, CA, CCN 553107
  • Hospice of Serene Care, Inc. Hospice, Cerritos, CA, CCN B51517
  • Divine Angels Hospice Hospice, Montclair, CA, CCN A11669
  • Edgewater Skilled Nursing Center Nursing home, Long Beach, CA, CCN 055387
  • Pacific Palms Healthcare Nursing home, Long Beach, CA, CCN 056164

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue157
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128457CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Tehrani MD Apc CurrentSince Aug 1, 2015 Accepting new patients
Wound Docs Apc Internal Medicine CurrentSince Oct 22, 2024 Accepting new patients
Concierge HMO Current Accepting new patients
Dignity Health Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

27141 Aliso Creek Rd
Ste 235
Aliso Viejo, CA 92656
Phone (562) 800-3321

1703 Termino Ave
Ste 108
Long Beach, CA 90804
Phone (562) 498-2481

1703 Termino Ave
Ste 106
Long Beach, CA 90804
Phone (310) 552-0146

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 5

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": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1427320704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-498-2481",
            "fax_number": "562-494-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042126",
            "telephone_number": "562-498-2481",
            "fax_number": "562-494-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-02",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A128457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SID # 113394",
            "identifier": "113394",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.