Charles Nicholaus Tabone, NATUROPATHIC DOCTOR

Primary specialty

NaturopathTaxonomy code 175F00000X

License

ND1209 Issued in CA

Practice address

11640 San Vicente Blvd Ste 103
Los Angeles, CA 90049-6535

Phone

(310) 820-7925

NPI assigned

Dec 15, 2020

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1477149284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 SAN VICENTE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496535",
            "telephone_number": "310-820-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 SAN VICENTE BLVD STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496535",
            "telephone_number": "310-820-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABONE",
        "first_name": "CHARLES",
        "middle_name": "NICHOLAUS",
        "name_prefix": "Dr.",
        "credential": "NATUROPATHIC DOCTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND1209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Tabibnia, D.O.
• Vahid Tabibzadeh, D.D.S., M.D.
• Armin Ali Tabiei, MD
• Jennifer Tabiza, O.D.
• Parham Tabloei, DPT
• Kara Sydelle Tabor-Furmark, M.D.
• Drew Tabor
• Luz Adriana Taborga, MPH, MSN, FNP-C
• Roxana Tabrizi, MD
• Khalil M Tabsh, M.D.

• Naturopath in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Naturopath in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.