Individual provider Active NPI

Mehran Taban, M.D.

  • Ophthalmology Physician
  • Torrance, CA
National Provider Identifier
1497943914
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A108546 Issued in CA
Practice address
20528 Hawthorne Blvd Ste 201
Torrance, CA 90503-3271
Phone
(424) 247-9090
Fax
(424) 247-9095
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A108546 CA Primary

Addresses

Primary practice location

20528 Hawthorne Blvd Ste 201
Torrance, CA 90503-3271

Mailing address

20528 Hawthorne Blvd Ste 201
Torrance, CA 90503-3271
Phone (424) 247-9090

Other identifiers 1

IdentifierTypeStateIssuer
A108546OtherCALICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090407000529 CA Practitioner - Ophthalmology 4183710213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mehran Taban MD IncGroup PAC ID 6002139680, 2 clinicians

Practice addresses (Care Compare)

1414 S Grand Ave
Suite 440
Los Angeles, CA 90015-3083
Phone (213) 747-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108546CAMDOphthalmology Physician

Practice roles (13 of 14)

OrganizationSpecialtyStatusNew patients
Elite Surgery Center of South Bay LLC CurrentSince Nov 1, 2020 Accepting new patients
Mehran Taban M.D. Inc. Ophthalmology CurrentSince Nov 3, 2014 Accepting new patients
County of Los Angeles CurrentSince Mar 29, 2011 Accepting new patients
Anesthesia Associates of South Bay LLC CurrentSince Feb 27, 2023 Accepting new patients
County of Los Angeles CurrentSince Mar 29, 2011 Accepting new patients
Glendale Adventist Medical Center Ophthalmology Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Torrance Memorial Medical Center Ophthalmology Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1414 S Grand Ave
Ste 440
Los Angeles, CA 90015
Phone (213) 747-2020

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

20528 Hawthorne Blvd
Ste 301
Torrance, CA 90503
Phone (424) 247-9090

20528 Hawthorne Blvd
Ste 201
Torrance, CA 90503
Phone (424) 247-9090

23451 Madison St
Ste 110
Torrance, CA 90505
Phone (310) 953-3300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mtaban@mrvcenter.intellechartdirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1497943914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20528 HAWTHORNE BLVD STE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033271",
            "telephone_number": "424-247-9090",
            "fax_number": "424-247-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20528 HAWTHORNE BLVD STE 201",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905033271",
            "telephone_number": "424-247-9090",
            "fax_number": "424-247-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAN",
        "first_name": "MEHRAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A108546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A108546",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.