William H Tabb, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2478 Issued in CA

Practice address

425 W Bonita Ave
110
San Dimas, CA 91773-2541

Phone

(909) 599-0981

Fax

(909) 592-0738

NPI assigned

Sep 20, 2006

Last updated

Mar 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Geriatric Podiatry Medical Group Inc.

  • Public Medicine Podiatrist
  • San Dimas, CA
  • NPI 1598832172
  Authorized official Same address or phone
• Physicians Network Services Medical Group

  • Optometrist
  • Placentia, CA
  • NPI 1457445215

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1942307764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE",
            "address_2": "110",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732541",
            "telephone_number": "909-599-0981",
            "fax_number": "909-592-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE",
            "address_2": "110",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732541",
            "telephone_number": "909-599-0981",
            "fax_number": "909-592-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABB",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E24780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford L. Sussman, M.D.
• Suzan Burmayan, O.D., a Professional Corporation
• David Ashley Swearingen, OD
• Shahid Syed, M.D.
• Syngo LLC (Assured Homes)
• Erika Tablac
• Azadeh Taefi, M.S., PPS, CWA
• Kemerick Takang
• Daniel Talley
• Eric Tang, RPH

• Podiatrist in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.