Active NPI
Tahira Akram, MD
- Obstetrics & Gynecology Physician
- Pomona, CA
National Provider Identifier
1942202825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036116791
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000363132 | Other | MI | ANTHEM |
| P00345208 | Other | IL | RR NUMBER |
| 4732780 | Medicaid | MI | |
| CE9335 | Other | IL | RR GROUP NUMBER |
| 1528365285 | Medicaid | CA | |
| 1604610592 | Other | MI | BCBS 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036116791 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Michele a. Gardner, M.D., P.L.L.C. | Obstetrics & Gynecology | Past | Accepting new patients |
| Bao Cong Tran MD Inc | Past | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Obstetrics & Gynecology | Past | 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.
-
- Internal Medicine Physician
- Pomona, CA
- NPI 1184809329
-
- Obstetrics & Gynecology Physician
- Adrian, MI
- NPI 1760708549
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
Obstetrics & Gynecology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.