Kaushal R Tamboli MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KAUSHAL R TAMBOLI MD INC

Practice address

8317 Davis Street
Suite a
Downey, CA 90241-5021

Phone

(562) 869-1511

Fax

(562) 869-0771

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kaushal R Tamboli, M.D.NPI 1871655480

Title

President

Phone

(562) 869-1511

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaushal R Tamboli, M.D.

  • Cardiovascular Disease Physician
  • Downey, CA
  • NPI 1871655480
  Medicare reassignment Care Compare group NPD Authorized official
• Paiboon Mahaisavariya, M.D.

  • Cardiovascular Disease Physician
  • Downey, CA
  • NPI 1801959069
  Medicare reassignment Care Compare group NPD
• Jocelyn Sampedro, MSN RNP

  • Nurse Practitioner
  • Downey, CA
  • NPI 1760539316
  Medicare reassignment Care Compare group NPD
• Paul H Yoshino, M.D.

  • Interventional Cardiology Physician
  • Downey, CA
  • NPI 1063575223

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Hossein Eftekhari, MD

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1265694962
  Medicare reassignment NPD
• Kwang Yeon Carol Lee

  • Acute Care Nurse Practitioner
  • Orange, CA
  • NPI 1164022448
  Medicare reassignment NPD
• Badiha Fatima, PA-C

  • Physician Assistant
  • Downey, CA
  • NPI 1427741040
  Medicare reassignment

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1881756492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8317 DAVIS STREET",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415021",
            "telephone_number": "562-869-1511",
            "fax_number": "562-869-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8317 DAVIS STREET",
            "address_2": "SUITE A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415021",
            "telephone_number": "562-869-1511",
            "fax_number": "562-869-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUSHAL R TAMBOLI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "TAMBOLI",
        "authorized_official_first_name": "KAUSHAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-869-1511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ52343Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pallavi Kasukurthi
• Sarah Kate
• Katie J. Karzen, a Dental Corporation
• Allyn Kau, PT
• Harmeet Kaur, FNP-BC
• Susan Reiko Kawakami, D.O.
• Dallas Kearney
• Jeffrey Keches, BA
• Julie Marie Keenan, LCSW
• Sara Kela, NATUROPATHIC DOCTOR

• Cardiovascular Disease Physician in Downey, CA
• Providers in Downey, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.