Organization Active NPI

Columbia Health Care Management Inc.

Doing business as CHCM

  • Internal Medicine Physician
  • Vancouver, WA
National Provider Identifier
1942029137
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COLUMBIA HEALTH CARE MANAGEMENT INC.
Doing business as
CHCM
Practice address
1111 Main St Ste 110
Vancouver, WA 98660-2987
Phone
(850) 273-0442
NPI assigned
Oct 7, 2024
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Dr. Mehran R Tavakoli, MDNPI 1841294394
Title
President
Phone
(850) 273-0442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1111 Main St Ste 110
Vancouver, WA 98660-2987

Mailing address

1111 Main St Ste 110
Vancouver, WA 98660-2987
Phone (850) 273-0442

Other names 1

  • CHCM Doing business as

National Provider Directory

National Provider Directory

Locations

1111 Main St
Ste 110
Vancouver, WA 98660
Phone (850) 273-0442

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1942029137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MAIN ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602987",
            "telephone_number": "850-273-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MAIN ST STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602987",
            "telephone_number": "850-273-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA HEALTH CARE MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-06",
        "status": "A",
        "authorized_official_last_name": "TAVAKOLI",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-273-0442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHCM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.