Raffi Tachdjian, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A88034 Issued in CA

Practice address

1301 20TH St Ste 380
Santa Monica, CA 90404

Phone

(310) 998-0060

Fax

(310) 998-0063

NPI assigned

Mar 21, 2007

Last updated

Jul 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Morehouse School of Medicine, 2001

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

UC RegentsGroup PAC ID 4587568829, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mother Theresa's Home Health Services Home health agency, Burbank, CA, CCN 058224

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Raffi Tachdjian, MD a Medical Corporation

  dba AIRE Medical LA

  • Allergy Physician
  • Santa Monica, CA
  • NPI 1346647120
  Medicare reassignment NPD Authorized official
• UC Regents

  dba UCLA Dept of Pediatric Grp Practice

  • Pediatrics Physician
  • Los Angeles, CA
  • NPI 1982667663

  Pediatric Allergy/Immunology

  Medicare reassignment Care Compare group NPD
• Clear Allergy Inc

  • Allergy & Immunology Physician
  • Culver City, CA
  • NPI 1316501273
  Authorized official Same address or phone
• Los Angeles Food Allergy Institute, Inc.

  dba AllergyDox

  • Allergy Physician
  • Burbank, CA
  • NPI 1215558341

  Allergy & Immunology

  NPD (past)
• Providence Health System - Southern California

  dba Providence Saint Joseph Medical Center

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• Providence Saint John's Health Center

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1124026273
  NPD (past)
• Regents Univ of Calif Los Angeles

  dba Resnick Neuropsychiatric Hospital at UCLA

  • Psychiatric Hospital
  • Los Angeles, CA
  • NPI 1952308363
  NPD (past)
• Sanny K Chan, MD, PHD, Inc

  • Allergy & Immunology Physician
  • Santa Monica, CA
  • NPI 1457925109
  NPD (past)
• The Regents of the University of California

  dba Santa Monica UCLAMC and Orthopedic Hospital

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1982849105
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mother Theresa's Home Health Care Services Inc.

  • Home Health Agency
  • Burbank, CA
  • NPI 1497776058
  Care Compare affiliation

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1447376454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 380",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042087",
            "telephone_number": "310-998-0060",
            "fax_number": "109-980-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 380",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90404",
            "telephone_number": "310-998-0060",
            "fax_number": "310-998-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHDJIAN",
        "first_name": "RAFFI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A88034",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CA",
            "license": "A88034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Ryan Tabet, D.O.
• Shereen Tabibian, PSY.D.
• Judy Taboada
• Jason Tabor, PT, DPT
• Kareem Tabsh
• Zemen Tadesse
• Rigved V. Tadwalkar, M.D., M.S.
• Desiree Tadwilliams, PT, DPT
• Sharwin Tafazoli, MD
• David Joel Taft, D.D.S.

• Allergy & Immunology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.
• 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.