Individual provider Active NPI

Saman Nassabi Tabari, DPM,MD

  • Student in an Organized Health Care Education/Training Program
  • Tarzana, CA
National Provider Identifier
1871112334
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
18625 Clark St Apt 202
Tarzana, CA 91356-3456
Phone
(818) 620-0474
NPI assigned
Apr 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

18625 Clark St Apt 202
Tarzana, CA 91356-3456

Mailing address

18625 Clark St Apt 202
Tarzana, CA 91356-3456
Phone (818) 620-0474

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230918003518 CA Practitioner - Podiatry 4183088529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashkan Soleymani DPM IncGroup PAC ID 2668484981, 4 clinicians

Practice addresses (Care Compare)

18075 Ventura Blvd
Suite 126
Encino, CA 91316-3595
Phone (818) 620-0474

575 E Hardy St
Suite 312
Inglewood, CA 90301-4050
Phone (310) 590-2333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue128
Removal of nail tissue1360
Removal or shaving of skin growth319
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashkan Soleymani, DPM, Inc CurrentSince Aug 6, 2023 Accepting new patients
Dr Tabari Surgical Corp CurrentSince May 11, 2024 Accepting new patients
Ersno Eromo, MD Inc Past Accepting new patients

Locations

18075 Ventura Blvd
Ste 126
Encino, CA 91316
Phone (818) 620-0474

575 E Hardy St
Ste 312
Inglewood, CA 90301
Phone (310) 590-2333

18370 Burbank Blvd
Ste 501
Tarzana, CA 91356
Phone (818) 345-0616

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1871112334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18625 CLARK ST APT 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563456",
            "telephone_number": "818-620-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18625 CLARK ST APT 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563456",
            "telephone_number": "818-620-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSABI TABARI",
        "first_name": "SAMAN",
        "name_prefix": "Dr.",
        "credential": "DPM,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.