Individual provider Active NPI

Shahriyar Tavakoli, M.D.

  • Pulmonary Disease Physician
  • Rancho Mirage, CA
National Provider Identifier
1962407767
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A48572 Issued in CA
Practice address
41750 Rancho Las Palmas Dr Ste M3
Rancho Mirage, CA 92270-5511
Phone
(760) 895-4292
Fax
(760) 895-4015
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A48572 CA
Pulmonary Disease Physician 207RP1001X A48572 CA Primary

Addresses

Primary practice location

41750 Rancho Las Palmas Dr Ste M3
Rancho Mirage, CA 92270-5511

Mailing address

41750 Rancho Las Palmas Dr Ste M3
Rancho Mirage, CA 92270-5511
Phone (760) 895-4292

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 834-3564

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
I20071226000411 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0840380192 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cep America - Intensivists PCGroup PAC ID 9032423421, 112 clinicians

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 887-1230

41750 Rancho Las Palmas Dr
Suite M3
Rancho Mirage, CA 92270-5511
Phone (760) 895-4292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

Merit-based Incentive Payment System (MIPS)

Final score
30.97 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
74.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48572CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Group, Inc. Specialist CurrentSince Jul 1, 2020 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 1, 2020 Accepting new patients
Emergency Associates Corporation CurrentSince Jul 1, 2020 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Aug 13, 2022 Accepting new patients
Cep America - Intensivists PC Critical Care Medicine CurrentSince Aug 13, 2022 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Sleep Diagnostic Center of Rancho Mirage Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

File 54701
Los Angeles, CA 90074
Phone (909) 651-4300

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

35900 Bob Hope Dr
Ste 172
Rancho Mirage, CA 92270
Phone (760) 674-4846

39000 Bob Hope Dr
#307
Rancho Mirage, CA 92270
Phone (760) 674-4846

41750 Rancho Las Palmas Dr
Ste M3
Rancho Mirage, CA 92270
Phone (760) 895-4292

41750 Rancho Las Palmas Dr
#M3
Rancho Mirage, CA 92270

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

39000 Bob Hope Dr
Ste K307
Rancho Mirage, CA 92270
Phone (760) 674-1911

39000 Bob Hope Dr
#201
Rancho Mirage, CA 92270
Phone (760) 773-4504

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shahriyar.tavakoli.p70@direct.mydohc.nextgenshare.com
  • Direct secure messaging: stavakoli329176@direct.llu.edu

Organizations & group practices 12

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1962407767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR STE M3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705511",
            "telephone_number": "760-895-4292",
            "fax_number": "760-895-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 RANCHO LAS PALMAS DR STE M3",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705511",
            "telephone_number": "760-895-4292",
            "fax_number": "760-895-4015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-834-3564",
            "fax_number": "760-773-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVAKOLI",
        "first_name": "SHAHRIYAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A48572",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A48572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.