Organization Active NPI

Raymond Tash DDS a Professional Corporation

  • Dental Clinic/Center
  • Montebello, CA
National Provider Identifier
1710694369
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RAYMOND TASH DDS A PROFESSIONAL CORPORATION
Practice address
880 W Beverly Blvd Ste B
Montebello, CA 90640-4241
Phone
(310) 409-6088
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Dr. Raymond M Tash, DDSNPI 1609918705
Title
President
Phone
(310) 409-6088

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

880 W Beverly Blvd Ste B
Montebello, CA 90640-4241

Mailing address

880 W Beverly Blvd Ste B
Montebello, CA 90640-4241
Phone (310) 409-6088

National Provider Directory

National Provider Directory

Locations

880 W Beverly Blvd
Ste B
Montebello, CA 90640
Phone (310) 409-6088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1710694369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W BEVERLY BLVD STE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404241",
            "telephone_number": "310-409-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W BEVERLY BLVD STE B",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404241",
            "telephone_number": "310-409-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND TASH DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "TASH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-409-6088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.