Individual provider Active NPI

Tanya Hamidi, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Sherman Oaks, CA
National Provider Identifier
1740416445
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
A113021 Issued in CA
Practice address
15315 Magnolia Blvd
Suite 101
Sherman Oaks, CA 91403-1173
Phone
(818) 783-1002
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X A113021 CA Primary

Addresses

Primary practice location

15315 Magnolia Blvd
Suite 101
Sherman Oaks, CA 91403-1173

Mailing address

11737 Kiowa Ave
Unit 8
Los Angeles, CA 90049-6189
Phone (818) 783-1002

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
I20110328000817 CA Practitioner - Internal Medicine 3971786997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CP la County S-Ca Hospice, LLCGroup PAC ID 3476043811, 7 clinicians

Practice addresses (Care Compare)

5315 Torrance Blvd
Suite B1
Torrance, CA 90503-4011
Phone (800) 829-8660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113021CAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CP la County S-Ca Hospice, LLC Hospice and Palliative Medicine CurrentSince Sep 29, 2025 Accepting new patients
Roze Room Hospice of the Valley Inc Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Locations

17315 Studebaker Rd
Ste 101
Cerritos, CA 90703
Phone (800) 829-8660

5315 Torrance Blvd
#B1
Torrance, CA 90503
Phone (310) 543-3400

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: thamidi562157@oc.providencedirect.org

Organizations & group practices 3

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": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351555200000",
    "number": "1740416445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11737 KIOWA AVE",
            "address_2": "UNIT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496189",
            "telephone_number": "818-783-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD",
            "address_2": "SUITE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031173",
            "telephone_number": "818-783-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDI",
        "first_name": "TANYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2012-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A113021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.