Ardeshir Ali Talieh, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A48638 Issued in CA

Practice address

628 California Blvd Ste F
San Luis Obispo, CA 93401-2553

Phone

(805) 540-5035

Fax

(805) 540-5036

NPI assigned

Aug 15, 2005

Last updated

Feb 19, 2009By 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ardeshir.talieh.p8@direct.bfmc.nextgenshare.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.

• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  Medicare reassignment NPD
• Dignity Community Care

  dba California Hospital Medical Center - Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114081056
  NPD (past)
• Kourosh Bagheri, M.D., M.S., a Professional Corporation

  dba Bagheri Medical Group

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1740367275
  NPD (past)
• Templeton Institute for Neurology Inc

  • Neurology Physician
  • Templeton, CA
  • NPI 1356673602
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1467454819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 CALIFORNIA BLVD STE F",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012553",
            "telephone_number": "805-540-5035",
            "fax_number": "805-540-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 CALIFORNIA BLVD STE F",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012553",
            "telephone_number": "805-540-5035",
            "fax_number": "805-540-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIEH",
        "first_name": "ARDESHIR",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Bailey Tabares
• Patti Tackett, MFT-T
• Lauren Marie Tait, M.D.
• Alexa Joy Talbert, MSW, LCSW
• Jacob Austin Talbert, M.S., AMFT #134105
• Natalee Rachele Tangen, MSW, LICSW
• Sikandra Hasnain Tank, M.D.
• Leah M Tanner, RD
• Frances Tao, MD, MPH
• Joanne Tarkington, C.N.M.

• Internal Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 Feb 19, 2009; 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.