Daniel Taheri, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G80445 Issued in CA

Practice address

10884 Santa Monica Blvd
3Rd Floor
Los Angeles, CA 90025-4646

Phone

(310) 446-4400

Fax

(310) 446-4408

NPI assigned

Mar 15, 2006

Last updated

Mar 17, 2018By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA, NV, AZ, NM4 enrollments

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 4

Specialty

Dermatology

Education

University of California, Geffen School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Daniel Taheri MD PCGroup PAC ID 8325142334, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.81 of 100Reported as group

Quality

97.1

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.69 of 100Reported as group

Quality

91.59

Promoting interoperability

94

Improvement activities

40

Cost

76.9

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 73)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• La Laser Center, PC, a Professional Medical Corporation

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1306982855

  AZ, Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Taheri MD PC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1407992217

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Taheri MD Inc

  • Clinical & Laboratory Dermatological Immunology Physician
  • Las Vegas, NV
  • NPI 1922144450

  CA, Dermatology

  Medicare reassignment NPD Authorized official
• Rural Primary and Specialty Care Clinic

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1740174960
  Medicare reassignment NPD
• Sci New Mexico PC

  • Multi-Specialty Clinic/Center
  • Las Cruces, NM
  • NPI 1932910866

  Mohs-Micrographic Surgery

  Medicare reassignment NPD
• First Person Care Clinic

  dba First Person Complete Care

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1659612547
  Medicare reassignment
• Bakersfield Advanced Surgery Center PC

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
  • NPI 1396612370
  NPD (past) Authorized official
• Bakersfield Dermatology and Skin Cancer PC

  • Dermatology Physician
  • Bakersfield, CA
  • NPI 1366706764
  NPD (past) Authorized official
• Bakersfield Specialty Surgery Center, PC

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
  • NPI 1982954640
  NPD (past) Authorized official
• Hanford Specialty Surgery Center, PC

  • Ambulatory Surgical Clinic/Center
  • Hanford, CA
  • NPI 1891133302
  NPD (past) Authorized official
• Modesto Dermatology and Skin Cancer PC

  • Dermatology Physician
  • Modesto, CA
  • NPI 1093079485
  NPD (past) Authorized official
• Modesto Specialty Surgery Center PC

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1205177235
  Authorized official Same address or phone

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992774681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ARTESIA BLVD FL 2",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783207",
            "telephone_number": "424-276-4700",
            "fax_number": "424-903-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10884 SANTA MONICA BLVD",
            "address_2": "3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254646",
            "telephone_number": "310-446-4400",
            "fax_number": "310-446-4408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Mesquite Ave Ste G102",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864035771",
            "country_code": "US",
            "telephone_number": "928-719-8400",
            "fax_number": "928-719-8402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5731 S Fort Apache Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891485666",
            "country_code": "US",
            "telephone_number": "702-272-1600",
            "fax_number": "702-272-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHERI",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G80445",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G80445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "G80445",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA MEDICAL LICENSE",
            "identifier": "11900",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL LICENSE",
            "identifier": "37910",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercedes O Taha
• Nima Taha, M.D.
• Amir Alex Tahbaz, M.D.
• Rukaya Taher
• Anoshiravan Taheri-Tafreshi, M.D.
• Rana Taherian, M.D.
• Parviz Taherpour, M.D.
• Michael Tahery, M.D.
• Daniel Tahhan
• Aman Fiza Tahir

• Dermatology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.