Alireza Tabesh MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

ALIREZA TABESH MD INC

Practice address

2000 Stadium Way
Los Angeles, CA 90026-2606

Phone

(213) 250-4200

NPI assigned

Feb 5, 2019

Last updated

Feb 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alireza Tabesh, MDNPI 1356482392

Title

President

Phone

(562) 407-2080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alireza Tabesh, MD

  • Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1356482392
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1730644519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 ALONDRA BLVD STE C",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705842",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STADIUM WAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900262606",
            "telephone_number": "213-250-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIREZA TABESH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "TABESH",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-407-2080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aliso Medical Clinic, Inc
• Alison C. Schur, PSYD, a Psychological Corp.

• Gastroenterology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.