Taram Mbaitoubam Dabo, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A78607 Issued in CA

Practice address

1919 Grand Ave Ste 1E
San Diego, CA 92109-4578

Phone

(858) 270-5454

Fax

(858) 270-5509

NPI assigned

Aug 29, 2006

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

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

Interoperability endpoints

• Direct secure messaging: tdabo80931@scrippshlth.medalliesdirect.net

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.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487763009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 GRAND AVE STE 1E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094578",
            "telephone_number": "858-270-5454",
            "fax_number": "858-270-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 GRAND AVE STE 1E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921094578",
            "telephone_number": "858-270-5454",
            "fax_number": "858-270-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABO",
        "first_name": "TARAM",
        "middle_name": "MBAITOUBAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A78607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Jean Dabasinskas, M.A.
• Ziad Dabbagh
• Arsia Jared Dabiri, MD
• Caitlin Hillary Dablow, SLP
• Delaney Dabney-Hammons
• Jacob Christopher Dabrowski, DO
• Matthew Anthony Dabski, M.D., M.P.H.
• Vida Esteban Dacanay, RN
• Derek Dacey
• Juan Camilo Dada

• Family Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.