Hamid Reza Tahery, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A102906 Issued in CA

Practice address

16311 Ventura Blvd
Suite 1080
Encino, CA 91436-2124

Phone

(818) 501-6775

NPI assigned

Mar 14, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1881865178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BOULEVARD",
            "address_2": "SUITE 1080",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364352",
            "telephone_number": "818-501-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE 1080",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-501-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHERY",
        "first_name": "HAMID",
        "middle_name": "REZA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A102906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Taaid
• Mona Tabib, MD
• Armine Tadevosyan, FNP
• Samah Tadros
• Alisa Tagvoryan
• Mitra Tahvildarian, PH.D., AGNP, CFMP
• Tajav Toomari DO Inc
• Kaylee Takami
• Jacob Raul Talavera
• Talented People Inc

• Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.