Parichehr Tabibian, MD, a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PARICHEHR TABIBIAN, MD, A PROFESSIONAL CORPORATION

Doing business as

Blue Lotus Medical Group

Practice address

20315 Ventura Blvd Ste 315a
Woodland Hills, CA 91364-2449

Phone

(818) 481-1417

Fax

(505) 210-7275

NPI assigned

Dec 9, 2019

Last updated

Apr 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Parichehr Tabibian, MDNPI 1154521730

Title

President & Ceo

Phone

(818) 481-1417

Specialties & licenses 3

Addresses

Other names 1

• Blue Lotus Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parichehr Angela Tabibian, MD

  • Hospitalist Physician
  • Tarzana, CA
  • NPI 1154521730
  Medicare reassignment Authorized official
• Mano Shanaa, M.D.

  • Anesthesiology Physician
  • Woodland Hills, CA
  • NPI 1003857475
  NPD

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1891332805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 DOMAN AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564311",
            "telephone_number": "818-481-1417",
            "fax_number": "505-210-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20315 VENTURA BLVD STE 315A",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642449",
            "telephone_number": "818-481-1417",
            "fax_number": "505-210-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARICHEHR TABIBIAN, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "TABIBIAN",
        "authorized_official_first_name": "PARICHEHR",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "818-481-1417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Lotus Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aljelen Paraiso
• Jenyfer Esmeralda Paredes
• Julissa Marie Paredes V
• Leslie Alexandra Paredes
• Iman Parhami, M.D., MPH
• Park Center for Health (Park Center - East)
• Alice Sunyoung Park, M.S.P.T
• Caroline Kim Park, M.D.
• Jaeheui Park, RPH
• Maxwell Choong Won Park, MD

• Internal Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.