Inga Tamazova

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

058101 Issued in CA

Practice address

4855 Santa Monica Blvd
114
Los Angeles, CA 90029-2654

Phone

(323) 906-9090

Fax

(323) 906-9696

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 058101

Legal name

INGA TAMAZOVA

Doing business as

RED OAK HOME HEALTH SERVICES

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 5, 2002

Last certification

Feb 14, 2019

Ownership / control type

Proprietary

Organization structure

Sole ProprietorProprietary

Enrollment address

4855 Santa Monica Blvd 114
Los Angeles, CA 90029-2654

Listed as

Red Oak Home Health ServicesCCN 058101

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Feb 5, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare enrollment (NPD)

Not enrolled

State licenses

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Zain Kadri, M.D

  • Facial Plastic Surgery Physician
  • Palmdale, CA
  • NPI 1073678736

  Home health agency

  Care Compare affiliation
• Yousef Mehrabi, M.D

  • Pediatrics Physician
  • Encino, CA
  • NPI 1083693915

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1891967246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 SANTA MONICA BLVD",
            "address_2": "114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292654",
            "telephone_number": "323-906-9090",
            "fax_number": "323-906-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 SANTA MONICA BLVD",
            "address_2": "114",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292654",
            "telephone_number": "323-906-9090",
            "fax_number": "323-906-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMAZOVA",
        "first_name": "INGA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "058101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Samuel Tamayo
• Juan Tamayo
• Michelle Lynn Tamayo
• Patricia Katherina San Pedro Tamayo, DNP
• Rona Lee Tamayo, DDS
• Diane Tamazyan, BA
• Mannana Nairi Tamazyan
• Cara Tambellini, M.A. CCC-SLP
• Zoe Sarah Tambling
• Zenab Tamer

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.