Individual provider Active NPI

Majd Albert Tarakji, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Torrance, CA
National Provider Identifier
1871679555
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
53378 Issued in CA
Practice address
19000 Hawthorne Blvd
Suite# 222
Torrance, CA 90503-1517
Phone
(310) 371-6900
Fax
(310) 214-8395
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 53378 CA Primary

Addresses

Primary practice location

19000 Hawthorne Blvd
Suite# 222
Torrance, CA 90503-1517

Mailing address

19000 Hawthorne Blvd
Suite# 222
Torrance, CA 90503-1517
Phone (310) 371-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 15, 2016 through Dec 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53378CAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871679555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD",
            "address_2": "SUITE# 222",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-371-6900",
            "fax_number": "310-214-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 HAWTHORNE BLVD",
            "address_2": "SUITE# 222",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031517",
            "telephone_number": "310-371-6900",
            "fax_number": "310-214-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARAKJI",
        "first_name": "MAJD",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.