Active NPI
Parham Tabibian MD Inc
- Dermatology Physician
- Agoura Hills, CA
National Provider Identifier
1609343771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- PARHAM TABIBIAN MD INC
- Practice address
- 30300 Agoura Rd Ste 200
Agoura Hills, CA 91301-5413 - Phone
- (818) 706-3744
- NPI assigned
- Oct 26, 2018
- Organization subpart
- Yes
- Parent organization
- PARHAM TABIBIAN MD INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael P. Tabibian, MD
- Title
- Medical Director
- Phone
- (310) 738-6006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
30300 Agoura Rd Ste 200
Agoura Hills, CA 91301-5413
Mailing address
3851 Katella Ave Ste 105
Los Alamitos, CA 90720-3389
Phone (562) 799-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB222113 | Other | CA | PTAN |
National Provider Directory
National Provider Directory- Part of
- Parham Tabibian MD Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dermatology Physician
- Los Alamitos, CA
- NPI 1427114032
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Los Alamitos, CA
- NPI 1366470338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540512000000",
"number": "1609343771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3851 KATELLA AVE STE 105",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203389",
"telephone_number": "562-799-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30300 AGOURA RD STE 200",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913015413",
"telephone_number": "818-706-3744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARHAM TABIBIAN MD INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PARHAM TABIBIAN MD INC",
"enumeration_date": "2018-10-26",
"last_updated": "2018-10-26",
"status": "A",
"authorized_official_last_name": "TABIBIAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "310-738-6006",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CB222113",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.