Shireen Tabatabai, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

106201 Issued in CA

Practice address

5550 Carmel Mountain Rd Ste 101
San Diego, CA 92130-4861

Phone

(858) 251-1407

NPI assigned

Jun 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1720656168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10789 CORTE CRISALIDA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275840",
            "telephone_number": "858-776-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 CARMEL MOUNTAIN RD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921304861",
            "telephone_number": "858-251-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABATABAI",
        "first_name": "SHIREEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoebe Claire Tabaranza, NP-C
• Liliana Tabares I
• Mark Tabarrejo
• Hooman Tabarsi, MD
• Daryush Kevin Tabatabai Asl, PHARMD
• Judy Lynn Tabb, MFT
• Nadeem Imadeddine Tabbara
• Tabitha Jamie Tabbert, APCC
• Diona I Tabbs
• Lana Tabbs

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.