Talib Omer MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TALIB OMER MD PC

Practice address

3415 S Sepulveda Blvd FL 10
Los Angeles, CA 90034-6060

Phone

(888) 878-4256

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Katrina Merritt

Title

Senior Manager, Credentialing

Phone

(813) 596-5726

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nithchel Marcelin, DMSC, PA-C

  • Physician Assistant
  • Jensen Beach, FL
  • NPI 1417024696
  NPD
• Debra R Newman, PA-C, MPH

  • Physician Assistant
  • Santa Fe, NM
  • NPI 1609084284
  NPD

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1821744608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 HOLCOMB BRIDGE RD",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922205",
            "telephone_number": "888-878-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD FL 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346060",
            "telephone_number": "888-878-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALIB OMER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "SENIOR MANAGER, CREDENTIALING",
        "authorized_official_telephone_number": "813-596-5726"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samira Taleghani
• Sophia Taleghani, MD
• Mia Talesfore
• Tina Talesh
• Tali Maouda Licensed Clinical Social Worker Inc
• Nigma Talib, N.D.
• Aleksandr Talishinsky
• Talk Shop Los Angeles Speech Therapy, Inc.
• Talk With Anna Individual & Marriage Therapy, Inc.
• Harshita Talkad

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.