Heidi Tawadros, PA.C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

PA14409 Issued in CA

Practice address

5920 Atlantic Blvd
Maywood, CA 90270-3101

Phone

(323) 562-2535

Fax

(323) 562-2558

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles (2 of 3)

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 and National Provider Directory roles.

• Armen Nercessian DO Inc

  • General Practice Physician
  • Pasadena, CA
  • NPI 1417496332

  General Practice

  NPD (past)
• Azusa Way Family Medical Clinic

  • Family Medicine Physician
  • La Puente, CA
  • NPI 1508055922
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1992929335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703101",
            "telephone_number": "323-562-2535",
            "fax_number": "323-562-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703101",
            "telephone_number": "323-562-2535",
            "fax_number": "323-562-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWADROS",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "PA.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "PA14409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Xin Shan
• Shane Medical Office a Professional Corporation
• Erick Solera, PTA
• Kevin Soohoo, PHARMD, LAC
• Tao Trung Nguyen M.D., Inc
• Terry D. Ahn DDS., Inc
• The Medicine Cabinet Inc.
• Thrifty Payless Inc
• Jose R. Torres, D.D.S.
• Trimica LLC

• General Practice Physician in Maywood, CA
• Providers in Maywood, 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 18, 2008; 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.