Tara Nowakhtar OBGYN Medical Corporation

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

TARA NOWAKHTAR OBGYN MEDICAL CORPORATION

Practice address

12746 W Jefferson Blvd Ste 400
Playa Vista, CA 90094-2885

Phone

(424) 315-2277

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

Tara Nowakhtar, DONPI 1255746475

Title

Ceo

Phone

(310) 729-5058

Specialties & licenses 1

Addresses

Locations

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.

• Tara Nowakhtar

  • Obstetrics & Gynecology Physician
  • Playa Vista, CA
  • NPI 1255746475
  Authorized official Same address or phone

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1811771280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 ESTHER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12746 W JEFFERSON BLVD STE 400",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942885",
            "telephone_number": "424-315-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA NOWAKHTAR OBGYN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "NOWAKHTAR",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-729-5058",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Playa Vista, CA
• Providers in Playa Vista, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.