Tahir Haytoglu, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A72482 Issued in CA

Practice address

802 Magnolia Ave Ste 200
Corona, CA 92879-3144

Phone

(951) 444-7006

Fax

(909) 247-3340

NPI assigned

Feb 15, 2018

Last updated

Apr 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Endocrinology

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bashar G Saad MD IncGroup PAC ID 7810012523, 3 clinicians

Almoutaz Bellah Shakally MD, IncGroup PAC ID 2860818580, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Almoutaz Bellah Shakally MD, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Corona, CA
  • NPI 1821612565
  Medicare reassignment Care Compare group NPD
• Bashar G Saad MD Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • San Dimas, CA
  • NPI 1881906568
  Medicare reassignment Care Compare group NPD
• Tele-Medicine Services Ny, PLLC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1609663780
  NPD (past)

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1932609054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 200",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793144",
            "telephone_number": "951-444-7006",
            "fax_number": "909-247-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MAGNOLIA AVE STE 200",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793144",
            "telephone_number": "951-444-7006",
            "fax_number": "909-247-3340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 W Hospitality Ln Ste 119",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083351",
            "country_code": "US",
            "telephone_number": "909-882-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYTOGLU",
        "first_name": "TAHIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "291773",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A72482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05228184",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103544920",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hawatmeh Dental Group PC (Bravo Dental Group of Corona)
• Hana Hawthorne, LSW
• Shabana Haxton, RN, NP
• Laurice Evette Haycraft, MSN, RN, APRN, PMHNP
• Victoria Haymon
• Zheming He
• Heal Pulse Nursing PC
• Healhtpointe Medical Group, Inc. (TRAC Physical Therapy)
• Healing Hearts Home Health LLC (Healing Hearts Home Care)
• Health Masters MD, Inc

• Endocrinology, Diabetes & Metabolism Physician in Corona, CA
• Providers in Corona, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.