Individual provider Active NPI

James Hagop Tabibian, M.D.

  • Gastroenterology Physician
  • Glendale, CA
National Provider Identifier
1831356732
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A142008 Issued in CA
Practice address
1505 Wilson Ter Ste 300
Glendale, CA 91206-4073
Phone
(818) 630-8653
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 53489 MN
Gastroenterology Physician 207RG0100X 104918 MN
Gastroenterology Physician 207RG0100X A142008 CA Primary

Addresses

Primary practice location

1505 Wilson Ter Ste 300
Glendale, CA 91206-4073

Mailing address

1505 Wilson Ter Ste 300
Glendale, CA 91206-4073
Phone (818) 630-8653

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

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
I20160502002178 CA Practitioner - Gastroenterology 2668506098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of California, Geffen School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

1505 Wilson Ter
Suite 300
Glendale, CA 91206-4073
Phone (818) 243-8431

2750 Sycamore Dr
Simi Valley, CA 93065-1500

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy171
Upper gastrointestinal (GI) endoscopy for acid reflux344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142008CAMDGastroenterology Physician
53489MNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Aug 15, 2023 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 15, 2023 Accepting new patients
TT Psychological & Medical Consulting Inc Current Accepting new patients
County of Los Angeles CurrentSince Feb 1, 2017 Accepting new patients
County of Los Angeles CurrentSince Feb 1, 2017 Accepting new patients

Locations

1505 Wilson Ter
Ste 300
Glendale, CA 91206
Phone (818) 242-5339

1560 E Chevy Chase Dr
Ste 245
Glendale, CA 91206
Phone (818) 246-5900

1505 Wilson Ter
Ste 370
Glendale, CA 91206
Phone (661) 550-0002

1560 E Chevy Chase Dr
Ste 430
Glendale, CA 91206
Phone (818) 243-1135

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1831356732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064073",
            "telephone_number": "818-630-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WILSON TER STE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064073",
            "telephone_number": "818-630-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIBIAN",
        "first_name": "JAMES",
        "middle_name": "HAGOP",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "53489",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "104918",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A142008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.