SHAHRAM TABIB MD A MEDICAL CORPORATION (NPI# 1255376638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255376638 |
| Entity Type | Organization |
| Organization Name | SHAHRAM TABIB MD A MEDICAL CORPORATION |
| Practice Address |
1300 North Vermont Ave Los Angeles CA 90027 |
| Mailing Address |
8581 Santa Monica Blvd #421 West Hollywood CA 90069 |
| Practice Telephone | 3239134892 |
| Mailing Telephone | 3105979786 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2009-04-03 |
| Authorized Official Name | DR. SHAHRAM TABIB (PRESIDENT / OWNER) |
| Authorized Official Telephone | 3105979786 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1300 NORTH VERMONT AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922033547 | Cha Hollywood Medical Center, Lp | General Acute Care Hospital | 1300 North Vermont Ave, Los Angeles, CA 90027 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558717983 | James Marvel | Emergency Medicine | 1520 Rodney Dr Apt 411, Los Angeles, CA 90027-5327 | 2016-05-04 |
| 1871956359 | Gregory Elbert Tong | Emergency Medicine | 942 Westwood Boulevard, Suite 300, Los Angeles, CA 90024 | 2016-04-01 |
| 1073979704 | Erik Akopian | Emergency Medicine | 1200 N State St Ste Ct-a7d, Los Angeles, CA 90033-1029 | 2016-01-11 |
| 1043685969 | Abraham Flinders | Emergency Medicine | 1021 N Bonnie Brae St, Los Angeles, CA 90026-3110 | 2015-12-03 |
| 1164892501 | Benjamin Musser | Emergency Medicine | 1957 Preston Ave, Los Angeles, CA 90026-1827 | 2015-09-28 |
| 1295138022 | Brian Raffetto | Emergency Medicine | 1200 N State St Rm A7d, Los Angeles, CA 90033-1029 | 2014-10-07 |
| 1427450691 | Ariel Justine Bowman | Emergency Medicine | 1200 N. State Street, Ct-room A7d, Los Angeles, CA 90033 | 2014-09-19 |
| 1093150476 | Sushil Jain | Emergency Medicine | 6041 Cadillac Ave Dept Of, Los Angeles, CA 90034-1702 | 2013-04-30 |
| 1497198402 | Russell Andrew Johnson | Emergency Medicine | 100 Ucla Medical Plaza Suite 490, Los Angeles, CA 90095-1103 | 2013-04-09 |
| 1114260858 | Catherine Marie Weaver | Emergency Medicine | 757 Westwood Plz Ste 1517, Los Angeles, CA 90095-8358 | 2013-04-01 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on SHAHRAM TABIB MD A MEDICAL CORPORATION.
| 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.