Active NPI
James Hagop Tabibian, M.D.
- Gastroenterology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A142008
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
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
Enrollment records 1
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
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
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 171 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 344 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142008 | CA | MD | Gastroenterology Physician |
| 53489 | MN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| TT Psychological & Medical Consulting Inc | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | 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.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1083976294
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Clinical Psychologist
- Glendale, CA
- NPI 1255998498
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.