Active NPI
Shahriyar Tavakoli, M.D.
- Pulmonary Disease Physician
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A48572
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Desert Regional Medical Center
- Eisenhower Medical Center
- Loma Linda University Medical Center
- Hi-Desert Medical Center
- John F Kennedy Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Merit-based Incentive Payment System (MIPS)
- Final score
- 30.97 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 74.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48572 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Group, Inc. | Specialist | Current | 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 | Current | Accepting new patients | |
| Emergency Associates Corporation | Current | Accepting new patients | |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Cep America - Intensivists PC | Critical Care Medicine | Current | 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
- shahriyar.tavakoli.p70@direct.mydohc.nextgenshare.com
- 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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1407234057
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Specialist
- Rancho Mirage, CA
- NPI 1033321542
-
- Emergency Medicine Physician
- Rancho Mirage, CA
- NPI 1003866120
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1114918612
-
- Critical Care Medicine (Internal Medicine) Physician
- Palm Springs, CA
- NPI 1033843941
-
- Pediatric Urology Physician
- Loma Linda, CA
- NPI 1295900439
-
- Critical Care Medicine (Internal Medicine) Physician
- Germantown, MD
- NPI 1194615310
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- Sleep Medicine (Internal Medicine) Physician
- Rancho Mirage, CA
- NPI 1861642472
-
- Magnetic Resonance Imaging (MRI) Internal Medicine Physician
- Metairie, LA
- NPI 1699793166
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- General Acute Care Hospital
- Joshua Tree, CA
- NPI 1851787295
-
- General Acute Care Hospital
- Indio, CA
- NPI 1477584993
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.