Ashraf A Taha, ASH TAHA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

136178 Issued in CA

Practice address

120 Tustin Ave
Newport Beach, CA 92663-4729

Phone

(917) 749-7474

NPI assigned

Dec 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ash Taha Other name

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": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1770729022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TUSTIN AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634729",
            "telephone_number": "917-749-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TUSTIN AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634729",
            "telephone_number": "917-749-7474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 Dean St Apt 3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112333502",
            "country_code": "US",
            "telephone_number": "917-749-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHA",
        "first_name": "ASHRAF",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "ASH  TAHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-16",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "136178",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "136178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASH",
            "last_name": "TAHA",
            "credential": "ASH  TAHA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Interventional Pain Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.