Individual provider Active NPI

Moshe Tabak, M.D.

  • Anesthesiology Physician
  • Glendale, CA
National Provider Identifier
1437100351
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A40257 Issued in CA
Practice address
801 S. Chevy Chase Dr.
Ste 106
Glendale, CA 91205-4431
Phone
(818) 265-2275
Fax
(818) 291-0818
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A40257 CA Primary

Addresses

Primary practice location

801 S. Chevy Chase Dr.
Ste 106
Glendale, CA 91205-4431

Mailing address

P.O. Box 3098
Torrance, CA 90510-3098
Phone (310) 792-3914

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
I20050111000186 CA Practitioner - AnesthesiologyPractitioner - Other (Physician) 2769430453 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians

Practice addresses (Care Compare)

6245 De Longpre Ave
Los Angeles, CA 90028-8253
Phone (323) 462-2271

Hospital & facility affiliations

  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40257CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Century Anesthesia Medical Group Anesthesiology CurrentSince Jul 21, 2018 Accepting new patients
Landmark Anesthesia Medical Group Anesthesiology CurrentSince May 1, 2020 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Apr 6, 2019 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Apr 6, 2019 Accepting new patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince May 12, 2018 Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

3711 Long Beach Blvd
Ste 101A
Long Beach, CA 90807
Phone (310) 963-9727

6245 De Longpre Ave
Los Angeles, CA 90028
Phone (310) 306-5502

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

4929 Van Nuys Blvd
Van Nuys, CA 91403
Phone (818) 907-4561

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

Organizations & group practices 6

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 1

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1437100351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "310-792-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S. CHEVY CHASE DR.",
            "address_2": "STE 106",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054431",
            "telephone_number": "818-265-2275",
            "fax_number": "818-291-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAK",
        "first_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A40257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.