Pedram Taher M.D.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A105998 Issued in CA

Legal business name

PEDRAM TAHER M.D.

Practice address

4133 Mohr Ave Ste a
Pleasanton, CA 94566-4750

Phone

(925) 425-0932

Fax

(925) 600-8068

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Pedram Taher, M.D.

Title

Owner

Phone

(510) 304-2190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1891039707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 MOHR AVE STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664750",
            "telephone_number": "925-425-0932",
            "fax_number": "925-600-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 MOHR AVE STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664750",
            "telephone_number": "925-425-0932",
            "fax_number": "925-600-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRAM TAHER M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "TAHER",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-304-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A105998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nidia Arianna Paula Amaya
• Arnold C Paulos, D.D.S.
• Elizabeth Peace, BCBA
• Sheila Beth Pearlman, PH.D.
• Foujan Pedari, DMD
• Jacque Marie Pedraza
• Sam Pejham, M.D.
• Socheatta Pel
• Kathleen Marie Pelz, CO
• Annalissa Lorena Dalan Pena, NP

• Clinic/Center in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.