DR. MUMTAZ G TABBAA (NPI# 1306879036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306879036 |
| Entity Type | Individual |
| Full Name | DR. MUMTAZ G TABBAA |
| Credential | M.D. |
| Practice Address |
1441 Constitution Blvd Salinas CA 93906-3100 |
| Mailing Address |
395 Del Monte Ctr Ste 173 Monterey CA 93940-6156 |
| Practice Telephone | 8317554111 |
| Practice Fax Number | 8317554087 |
| Mailing Telephone | 8317554111 |
| Mailing Fax Number | 8313721666 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A54688 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSP40248F | 05 |
| Street Address |
1441 CONSTITUTION BLVD |
| City | SALINAS |
| State | CA |
| Zip Code | 93906-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142270 | Eric S Parsons | Family Medicine | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2005-08-26 |
| 1043832512 | Lee-ana Guzman Hardy | Nurse Anesthetist, Certified Registered | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2020-05-07 |
| 1457983801 | Megan Fulton | Nurse Anesthetist, Certified Registered | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2020-02-04 |
| 1770122632 | Sarah Lillian Hall | Social Worker | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-12-24 |
| 1598319709 | Candace Pincus | Nurse Practitioner | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-07-25 |
| 1821659467 | Tatiana Trindade Nava | Speech-Language Pathologist | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-06-25 |
| 1508426420 | Kuong Ngann Do Corp | Surgery | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-06-13 |
| 1841855764 | Stephen James Matzat | Student in an Organized Health Care Education/Training Program | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-05-06 |
| 1528623444 | Jasmine Kaur Garcha | Student in an Organized Health Care Education/Training Program | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-05-06 |
| 1811552730 | Gabriel Flores Jr. | Student in an Organized Health Care Education/Training Program | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2019-05-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618883 | Casandra Andrea Gonzales | Case Manager/Care Coordinator | 1441 Constitution Blvd Building 400 Suite 202, Salinas, CA 93906 | 2020-08-05 |
| 1033730734 | Georgina Rodriguez | Behavioral Analyst | 1441 Constituion Blvd Bldg 400, Suite 202, Salinas, CA 93906 | 2020-05-04 |
| 1083252589 | Diane M Cassam | Marriage & Family Therapist | 1441 Constitution Blvd., Bldg. 400, Suite 200, Salinas, CA 93906 | 2019-12-16 |
| 1558849349 | Heather Lynne Rogers | Counselor | 1441 Constitution Blvd., Bldg. 400, Ste 202, Salinas, CA 93906 | 2018-08-02 |
| 1053897462 | Mayra Lizeth Barocio | Counselor | 1441 Constitution Blvd Bldg 4002, Salinas, CA 93906 | 2018-07-18 |
| 1720571425 | Ashley A Rangel | Behavior Technician | 1123 Baldwin St., Salinas, CA 93906 | 2018-06-07 |
| 1013419597 | Sean Crow | Behavior Technician | 1123 Baldwin, Salinas, CA 93906 | 2018-03-01 |
| 1942720164 | Joshua Lawrence Deutsch | Student in an Organized Health Care Education/Training Program | 1441 Constutution Blvd, Blg 400, Third Floor, Salinas, CA 93906 | 2017-06-20 |
| 1679014450 | Chris Moreno | Counselor | 1127 Baldwin St., Suite A, Salinas, CA 93906 | 2017-03-14 |
| 1295101657 | Craig Varjian | Dentist | 640 E. Alvin Drive, Suite D, Salinas, CA 93906 | 2015-08-19 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124575444 | Gastro Sur Psc | Internal Medicine | 8 Calle Colon Pacheco Salida, Sur Med Medical Center, Salinas, PR 00751 | 2016-09-02 |
| 1114985819 | Prathibha Chandrasekaran | Internal Medicine | 601 E Romie Ln Ste 6b, Salinas, CA 93901-4229 | 2006-05-02 |
| 1265439038 | Steven G Johnson | Internal Medicine | 658 E Romie Ln, Salinas, CA 93901-4206 | 2005-07-07 |
| 1164429965 | John R Carlson | Internal Medicine | 1083 Los Palos Dr, Salinas, CA 93901-3916 | 2005-07-07 |
| 1285780692 | Advanced Gastroenterology of Monterey County Medical Corp | Internal Medicine | 1441 Constitution Blvd, Salinas, CA 93906-3100 | 2007-01-26 |
| 1487722583 | Rita Y Lee | Internal Medicine | 340 Church St, Salinas, CA 93901-2612 | 2006-11-30 |
| 1770547465 | Ronald I Waloff | Internal Medicine | 1083 Los Palos Dr, Salinas, CA 93901-3901 | 2006-04-12 |
| 1790769818 | Lillian Choi | Internal Medicine | 1083 Los Palos Dr, Salinas, CA 93901-3901 | 2005-12-01 |
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| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
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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.