DR. STACY TAMARA TARRADATH (NPI# 1053569095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053569095 |
| Entity Type | Individual |
| Full Name | DR. STACY TAMARA TARRADATH |
| Credential | MD |
| Practice Address |
8501 Wilshire Blvd Ste 150 Beverly Hills CA 90211-3148 |
| Mailing Address |
3175 23rd St Astoria NY 11106-4134 |
| Practice Telephone | 3102487000 |
| Practice Fax Number | 3102487033 |
| Mailing Telephone | 7189562200 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2020-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AAA4688 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 278459 DUP | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3175 23rd St, Astoria, NY 111064134 | 7189562200 |
| Street Address |
8501 WILSHIRE BLVD STE 150 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114952470 | Dorrie E Fung Chang | Internal Medicine | 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211-3148 | 2006-07-12 |
| 1265093926 | Diana Boktor | Physician Assistant | 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211-3148 | 2019-06-24 |
| 1255851259 | Hind Fakhoury | Physician Assistant | 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211 | 2017-06-21 |
| 1730585324 | Jessica Heravi | Physician Assistant | 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211-3148 | 2014-11-10 |
| 1790027886 | Michael Patrick Directo | Internal Medicine | 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211-3148 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953949 | Medical Risk Solutions LLC | Family Medicine | 4065 North Lecanto Highway, Suite 600, Beverly Hills, FL 34465 | 2020-05-15 |
| 1154893246 | Sandra Chokron Garneau | Family Medicine | 324 S Beverly Dr Ste 990, Beverly Hills, CA 90212-4801 | 2018-12-29 |
| 1093243479 | R Ray Nettles Md Inc | Family Medicine | 9454 Wilshire Blvd Ste 300, Beverly Hills, CA 90212-2904 | 2017-05-30 |
| 1801338017 | Darren Meyer Himeles | Family Medicine | 9903 Santa Monica Blvd # 473, Beverly Hills, CA 90212-1671 | 2016-11-07 |
| 1114374394 | Marvin Berkowitz | Family Medicine | 614 N Roxbury Dr., Beverly Hills, CA 90210 | 2016-05-18 |
| 1033578448 | Carehere LLC | Family Medicine | 4065 N Lecanto Hwy Ste 600-900, Beverly Hills, FL 34465-3555 | 2016-02-12 |
| 1417340654 | Nature Coast Geriatric Services LLC | Family Medicine | 3404 N Lecanto Hwy Ste C, Beverly Hills, FL 34465-3569 | 2015-03-12 |
| 1366780397 | Lee Kudrow | Family Medicine | 604 N. Canon Dr., Beverly Hills, CA 90210 | 2013-01-25 |
| 1740553247 | Howard Maurice Kass | Family Medicine | 9855 Whitwell Dr., Beverly Hills, CA 90210 | 2012-02-14 |
| 1669750956 | David Harold Winer | Family Medicine | 300 No. Swall Dr., #151, Beverly Hills, CA 90211-1778 | 2011-08-03 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.