Assal Tavakoli Parsa, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

56417 Issued in CA

Practice address

16485 Laguna Canyon Rd Ste 110
Irvine, CA 92618-3839

Phone

(310) 571-5041

Fax

(562) 661-9672

NPI assigned

Jan 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Assal Parsa Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Flatow Medical Corporation ApcGroup PAC ID 6507273059, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Flatow Medical Corporation Apc

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1659970333
  Medicare reassignment Care Compare group
• Thomas and Flatow Medical Corporation

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1609377902
  NPD (past)

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

{
    "created_epoch": "1546300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1609348671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28322 EL SUR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16485 LAGUNA CANYON RD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183839",
            "telephone_number": "310-571-5041",
            "fax_number": "562-661-9672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908022315",
            "country_code": "US",
            "telephone_number": "310-571-5041",
            "fax_number": "562-661-9672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVAKOLI PARSA",
        "first_name": "ASSAL",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-01",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "PA56417",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASSAL",
            "last_name": "PARSA",
            "prefix": "MS.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Lee Tassey, DDS
• Evelyn Lam Tat
• Laurie Erin Tate, M.ED.
• Gassia Tatikian
• Maral Tavafi
• Anita Tavakoli
• Lorelei Tavernier
• Joelle A Tavitian, DDS
• Brooke Tawanna, BCBA
• Trinity Tay

• Physician Assistant in Irvine, CA
• Providers in Irvine, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.