Hamed Taheri, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD446301 Issued in PA

Practice address

1045 Atlantic Ave Ste 512
Long Beach, CA 90813-3422

Phone

(562) 435-0862

Fax

(562) 435-0863

NPI assigned

Aug 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

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

Specialty

General SurgeryAlso: Vascular Surgery

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coast Plaza Hospital Hospital, Norwalk, CA, CCN 050771

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Aurses Healthcare

  • Vascular Surgery Physician
  • Long Beach, CA
  • NPI 1104398601
  Medicare reassignment NPD Authorized official
• Apex Healthcare Medical Center Inc

  • Specialist
  • Hemet, CA
  • NPI 1447455423
  Medicare reassignment NPD
• Apex Healthcare Medical Center Inc

  • Hematology & Oncology Physician
  • Hemet, CA
  • NPI 1124453055
  NPD
• Apex Healthcare Medical Center Inc

  • Surgery Physician
  • Hemet, CA
  • NPI 1902173263
  NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Surgery

  NPD
• DLP Conemaugh Physician Practices LLC

  • Rural Health Clinic/Center
  • Jennerstown, PA
  • NPI 1790191948
  NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  NPD
• Coast Plaza Doctors Hospital

  • General Acute Care Hospital
  • Norwalk, CA
  • NPI 1669429221
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  NPD (past)
• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  NPD (past)
• J. Steinig MD, PLLC

  • Surgery Physician
  • West Seneca, NY
  • NPI 1255772984
  NPD (past)

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

• CPH Hospital Management LLC

  • General Acute Care Hospital
  • Norwalk, CA
  • NPI 1194016923
  Care Compare affiliation
• CPH Hospital Management LLC

  • Psychiatric Hospital Unit
  • Norwalk, CA
  • NPI 1952012379
  Care Compare affiliation

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1679766745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 512",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133422",
            "telephone_number": "562-435-0862",
            "fax_number": "562-435-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 512",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133422",
            "telephone_number": "562-435-0862",
            "fax_number": "562-435-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHERI",
        "first_name": "HAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD446301",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "274616",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD446301",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103082942",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112351300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A138318",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eunice Abigail Tafolla
• Priscilla Tafoya
• Julian Esmaeil Tafreshi, DC
• Marc Tafuro, D.C.
• Taglewellness
• David P. Tahour, M.D.
• Vannara Taing, MBA
• Ricky Roland Taira, LCSW
• Daisy Jae Tajalle
• Joyce Tajuna, LCSW

• Vascular Surgery Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.