Individual provider Active NPI

Eric Tamrazian

  • Neurology Physician
  • Torrance, CA
National Provider Identifier
1881078251
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A150492 Issued in CA
Practice address
4201 Torrance Blvd Ste 560
Torrance, CA 90503-4583
Phone
(424) 212-5360
Fax
(310) 316-3014
NPI assigned
Jul 16, 2015
Last updated
Aug 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A150492 CA Primary

Addresses

Primary practice location

4201 Torrance Blvd Ste 560
Torrance, CA 90503-4583

Mailing address

4201 Torrance Blvd Ste 560
Torrance, CA 90503-4583
Phone (424) 212-5360

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
I20180228002451 CA Practitioner - General Surgery 9234490582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

4201 Torrance Blvd
Suite 560
Torrance, CA 90503-4583
Phone (310) 212-5360

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150492CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Aug 1, 2022 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Medical Institute CurrentSince Aug 1, 2022 Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

4201 Torrance Blvd
Ste 560
Torrance, CA 90503
Phone (310) 792-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1881078251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 560",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034583",
            "telephone_number": "424-212-5360",
            "fax_number": "310-316-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 560",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034583",
            "telephone_number": "424-212-5360",
            "fax_number": "310-316-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMRAZIAN",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A150492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.