Individual provider Active NPI

Zahra Tabassian, MD

  • Nephrology Physician
  • Inglewood, CA
National Provider Identifier
1871521716
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A47974 Issued in CA
Practice address
994 S la Brea Ave
Inglewood, CA 90301-3816
Phone
(310) 671-2420
Fax
(310) 330-5670
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A47974 CA Primary

Addresses

Primary practice location

994 S la Brea Ave
Inglewood, CA 90301-3816

Mailing address

PO Box 661
El Segundo, CA 90245-0661
Phone (310) 671-2420

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
I20111213000227 CA Practitioner - Internal MedicinePractitioner - Nephrology 5294714366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

994 S la Brea Ave
Inglewood, CA 90301-3816
Phone (310) 330-5665

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A47974CAMDNephrology Physician
G47974CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zahra Tabassian MD Inc Nephrology CurrentSince Jul 1, 2001 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Gardena Hospital LP Past Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients

Locations

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

994 S La Brea Ave
Inglewood, CA 90301
Phone (310) 330-5665

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871521716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902450661",
            "telephone_number": "310-671-2420",
            "fax_number": "310-330-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 S LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013816",
            "telephone_number": "310-671-2420",
            "fax_number": "310-330-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABASSIAN",
        "first_name": "ZAHRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A47974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.