Shokouh Tamadon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A48517 Issued in CA

Practice address

15111 Whittier Blvd
Suite 102
Whittier, CA 90603-2136

Phone

(562) 945-6440

Fax

(562) 945-9121

NPI assigned

Jul 13, 2005

Last updated

Apr 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271721600000",
    "number": "1992703912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15111 WHITTIER BLVD",
            "address_2": "SUITE 102",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032136",
            "telephone_number": "562-945-6440",
            "fax_number": "562-945-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15111 WHITTIER BLVD",
            "address_2": "SUITE 102",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032136",
            "telephone_number": "562-945-6440",
            "fax_number": "562-945-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMADON",
        "first_name": "SHOKOUH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "A48517",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "080181067",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A485170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "B002",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A485170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Talamantes
• Esperanza Talavera
• Cynthia Talmich, LCSW
• Jennifer Tam, LCSW
• Wayne Tam, PHARM.D
• Alfred Tamir, D.D.S
• Theodore A Tanabe, DDS
• Leia Binh Tang, PA-C
• Trien Trey Tang
• William Michael Tannyhill, D.D.S.

• General Practice Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.

Verify at the official NPI Registry.