Active NPI
Tarabishi DDS Inc.
- Dentist
- San Diego, CA
National Provider Identifier
1821390030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40890
- Legal business name
- TARABISHI DDS INC.
- Practice address
- 6465 Balboa Ave Ste B
San Diego, CA 92111-3155 - Phone
- (858) 278-2700
- Fax
- (858) 278-2789
- NPI assigned
- Nov 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamad Tarabishi, D.D.S.
- Title
- Dentist
- Phone
- (858) 278-2700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40890 | CA | Primary |
Addresses
Primary practice location
6465 Balboa Ave Ste B
San Diego, CA 92111-3155
Mailing address
6465 Balaboa Ave Suit B
San Diego, CA 92111
Phone (858) 278-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4089001 | Other | NATIONAL PROVIDER IDENTIFICATION NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Tarabishi DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- San Diego, CA
- NPI 1750767851
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- San Diego, CA
- NPI 1124135306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290124800000",
"number": "1821390030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 BALABOA AVE SUIT B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92111",
"telephone_number": "858-278-2700",
"fax_number": "858-278-2789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6465 BALBOA AVE STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113155",
"telephone_number": "858-278-2700",
"fax_number": "858-278-2789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TARABISHI DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-19",
"last_updated": "2010-11-19",
"status": "A",
"authorized_official_last_name": "TARABISHI",
"authorized_official_first_name": "MOHAMAD",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "858-278-2700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "40890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFICATION NUMBER",
"identifier": "B4089001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.