Individual provider Active NPI

Tahira Akram, MD

  • Obstetrics & Gynecology Physician
  • Pomona, CA
National Provider Identifier
1942202825
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036116791 Issued in IL
Practice address
175 W la Verne Ave
Suite B
Pomona, CA 91767-2347
Phone
(909) 593-4400
Fax
(909) 593-4426
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036116791 IL Primary

Addresses

Primary practice location

175 W la Verne Ave
Suite B
Pomona, CA 91767-2347

Mailing address

175 W la Verne Ave
Suite B
Pomona, CA 91767-2347
Phone (909) 593-4400

Other identifiers 6

IdentifierTypeStateIssuer
000000363132OtherMIANTHEM
P00345208OtherILRR NUMBER
4732780MedicaidMI
CE9335OtherILRR GROUP NUMBER
1528365285MedicaidCA
1604610592OtherMIBCBS MI

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
I20110531000041 CA Practitioner - Obstetrics/Gynecology 3173574506 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036116791ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jul 26, 2024 Accepting new patients
Michele a. Gardner, M.D., P.L.L.C. Obstetrics & Gynecology PastSince Jul 1, 2003 Accepting new patients
Bao Cong Tran MD Inc Past Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Obstetrics & Gynecology PastSince Jul 1, 2014 Accepting new patients

Locations

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

Organizations & group practices 4

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1942202825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W LA VERNE AVE",
            "address_2": "SUITE B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672347",
            "telephone_number": "909-593-4400",
            "fax_number": "909-593-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W LA VERNE AVE",
            "address_2": "SUITE B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672347",
            "telephone_number": "909-593-4400",
            "fax_number": "909-593-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRAM",
        "first_name": "TAHIRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036116791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000363132",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR NUMBER",
            "identifier": "P00345208",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4732780",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GROUP NUMBER",
            "identifier": "CE9335",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528365285",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MI",
            "identifier": "1604610592",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.