Active NPI
Mohammad Akram Tahiry
- Driver
- San Marcos, CA
National Provider Identifier
1629227822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- SOSL200813810167
- Practice address
- 593 Via del Caballo
San Marcos, CA 92078-8911 - Phone
- (760) 672-0757
- NPI assigned
- Sep 11, 2008
- Last updated
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | SOSL200813810167 | CA | Primary |
Addresses
Primary practice location
593 Via del Caballo
San Marcos, CA 92078-8911
Mailing address
593 Via del Caballo
San Marcos, CA 92078-8911
Phone (760) 672-0757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SOSL200813810167 | CA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumad LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221091200000",
"number": "1629227822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 VIA DEL CABALLO",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920788911",
"telephone_number": "760-672-0757",
"fax_number": "760-744-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 VIA DEL CABALLO",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920788911",
"telephone_number": "760-672-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHIRY",
"first_name": "MOHAMMAD",
"middle_name": "AKRAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "SOSL200813810167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.