Individual provider Active NPI

Ani L. Tajirian, M.D.

  • Dermatology Physician
  • Oakland, CA
National Provider Identifier
1629270897
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A119900 Issued in CA
Practice address
3300 Webster St Ste 509
Oakland, CA 94609-3149
Phone
(510) 839-2937
Fax
(510) 452-2152
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A119900 CA Primary
MOHS-Micrographic Surgery Physician 207ND0101X A119900 CA

Addresses

Primary practice location

3300 Webster St Ste 509
Oakland, CA 94609-3149

Mailing address

3300 Webster St Ste 509
Oakland, CA 94609-3149
Phone (510) 839-2937

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
I20120627000597 CA Practitioner - Dermatology 8123283066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Warren Alpert Medical School of Brown University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ani Tajirian MDGroup PAC ID 4082844972, 4 clinicians

Practice addresses (Care Compare)

3300 Webster St
Suite 509
Oakland, CA 94609-3149
Phone (510) 452-0330

Merit-based Incentive Payment System (MIPS)

Final score
79.54 of 100Reported as individual
Quality
85
Improvement activities
40
Cost
51.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision105
Removal of tissue42
Removal of skin lesions342
Removal of skin cancer518
Skin biopsy119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ani Tajirian, MD Dermatology CurrentSince Feb 20, 2014 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

3511 School St
Lafayette, CA 94549
Phone (510) 452-0330

3300 Webster St
Ste 509
Oakland, CA 94609
Phone (510) 452-0330

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1629270897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-839-2937",
            "fax_number": "510-452-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 509",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093149",
            "telephone_number": "510-839-2937",
            "fax_number": "510-452-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAJIRIAN",
        "first_name": "ANI",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A119900",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A119900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.