Dana Pearl Tannenbaum, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A67997 Issued in CA

Practice address

4418 Vineland Ave
#106
North Hollywood, CA 91602-3457

Phone

(818) 762-0647

Fax

(818) 762-7834

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Center for Visioncare Surgical and Medical GroupGroup PAC ID 8921049594, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• A Center for Visioncare Surgical & Medical Group

  • Ophthalmology Physician
  • Burbank, CA
  • NPI 1912058728
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1528080694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE",
            "address_2": "106",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-762-0647",
            "fax_number": "818-762-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE",
            "address_2": "#106",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-762-0647",
            "fax_number": "818-762-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "DANA",
        "middle_name": "PEARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A67997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A679970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliza Gail Tan
• Joshua Zachary Tan
• Pauline Tan, MPH
• Boonsita Tangsopon
• Tania Davoodi, MFT Marriage & Family Therapy, Inc.
• Tansy Health Services, Inc.
• Tanya &Steve Professional Services Inc
• Giovanni Tapia, LCSW
• Tiffany Tapia
• Maryam Tavanaei, MD

• Ophthalmology Physician in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.