Individual provider Active NPI

Talha R Memon, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Murrieta, CA
National Provider Identifier
1922410869
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
A133066 Issued in CA
Practice address
39755 Date St Ste 101
Murrieta, CA 92563-2007
Phone
(951) 698-6629
NPI assigned
May 27, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X A133066 MI
Sleep Medicine (Family Medicine) Physician 207QS1201X A133066 CA Primary
Family Medicine Physician 207Q00000X A133066 CA

Addresses

Primary practice location

39755 Date St Ste 101
Murrieta, CA 92563-2007

Mailing address

39755 Date St Ste 101
Murrieta, CA 92563-2007
Phone (951) 698-6629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722000624 CA Practitioner - Sleep MedicinePractitioner - Family Practice 7810204773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talha Memon M D IncGroup PAC ID 9436249588, 2 clinicians

Practice addresses (Care Compare)

39755 Date St
Suite 101
Murrieta, CA 92563-2007
Phone (951) 698-6629

Merit-based Incentive Payment System (MIPS)

Final score
79.26 of 100Reported as individual
Quality
62.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133066CAMDFamily Medicine Physician
A133066MIMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Sep 1, 2022 Accepting new patients
Complete Sleep Center of Orange County Sleep Medicine Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Talha Memon M.D. Inc. CurrentSince Jan 10, 2018 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Rancho Family Medical Group, Inc. Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324

82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

30420 Haun Rd
Menifee, CA 92584

39755 Date St
Ste 101
Murrieta, CA 92563
Phone (951) 698-6629

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: talha.memon.1@22027.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22027/brand/1/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1922410869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39755 DATE ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632007",
            "telephone_number": "951-698-6629",
            "fax_number": "951-698-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 DATE ST STE 101",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632007",
            "telephone_number": "951-698-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "TALHA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "MI",
            "license": "A133066",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A133066",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A133066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.