Individual provider Active NPI

Aviv Tarrab Herzlich, MD

  • Obstetrics & Gynecology Physician
  • El Segundo, CA
National Provider Identifier
1588040794
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A171982 Issued in CA
Practice address
2110 E El Segundo Blvd Ste 220
El Segundo, CA 90245-2743
Phone
(310) 784-8745
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 300462 NY
Obstetrics & Gynecology Physician 207V00000X A171982 CA Primary

Addresses

Primary practice location

2110 E El Segundo Blvd Ste 220
El Segundo, CA 90245-2743

Mailing address

2110 E El Segundo Blvd Ste 220
El Segundo, CA 90245-2743
Phone (310) 784-8745

Other practice location 1

824 E Carson St Ste 203
Carson, CA 90745-2262
Phone (310) 543-5448

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
I20220915000861 CA Practitioner - Obstetrics/Gynecology 0446597827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

2110 E El Segundo Blvd
Suite 220
El Segundo, CA 90245-4502
Phone (310) 784-8745

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171982CAMDObstetrics & Gynecology Physician
300462NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tmogi Inc Obstetrics & Gynecology CurrentSince Jul 11, 2023 Accepting new patients
Torrance Health Association Inc CurrentSince Sep 1, 2022 Accepting new patients
The Brooklyn Hospital Center Past Accepting new patients

Locations

824 E Carson St
Ste 203
Carson, CA 90745
Phone (310) 543-5448

2110 E El Segundo Blvd
Ste 220
El Segundo, CA 90245
Phone (310) 748-8745

510 N Prospect Ave
Ste 320
Redondo Beach, CA 90277
Phone (310) 376-2716

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aherzlich17760@prd.direct.tbh.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1588040794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E EL SEGUNDO BLVD STE 220",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452743",
            "telephone_number": "310-784-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 E EL SEGUNDO BLVD STE 220",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902452743",
            "telephone_number": "310-784-8745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "824 E Carson St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Carson",
            "state": "CA",
            "postal_code": "907452262",
            "country_code": "US",
            "telephone_number": "310-543-5448",
            "fax_number": "310-316-5318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARRAB HERZLICH",
        "first_name": "AVIV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "300462",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A171982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.