NPIMap

Individual provider Active NPI

Shrikant Tamhane, D.O.

  • Family Medicine Physician
  • Carson, CA
National Provider Identifier
1497868251
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7213 Issued in CA
Practice address
23517 Main St Ste 103
Carson, CA 90745-5234
Phone
(310) 834-5388
NPI assigned
Aug 16, 2006
Last updated
May 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7213 CA Primary

Addresses

Primary practice location

23517 Main St Ste 103
Carson, CA 90745-5234

Mailing address

125 N. Gale Drive Unit 404
Beverly Hills, CA 90211
Phone (310) 779-0515

Other identifiers 1

IdentifierTypeStateIssuer
00AX72130MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204001052 CA Practitioner - Family Practice 1052204971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shrikant Tamhane DO IncGroup PAC ID 3971841206, 5 clinicians

Practice addresses (Care Compare)

1141 W Redondo Beach Blvd
Suite 306
Gardena, CA 90247-3583
Phone (310) 834-5388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7213CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stmjrr Professional Corporation Family Medicine Current Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Little Company of Mary Affiliated Services Inc Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

1141 W Redondo Beach Blvd
Ste 306
Gardena, CA 90247
Phone (310) 344-0346

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1497868251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N. GALE DRIVE UNIT 404",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-779-0515",
            "fax_number": "310-834-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23517 MAIN ST STE 103",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907455234",
            "telephone_number": "310-834-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMHANE",
        "first_name": "SHRIKANT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX72130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.