KEVEN TAGDIRI M.D., INC.


Address: 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938
Phone: 8587563021

KEVEN TAGDIRI M.D., INC. (NPI# 1760722433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760722433
Entity Type Organization
Organization Name KEVEN TAGDIRI M.D., INC.
Practice Address 4401 Manchester Ave
Suite 103
Encinitas
CA 92024-4938
Practice Telephone 8587563021
Mailing Telephone 8587563021
Enumeration Date 2013-02-18
Last Update Date 2013-02-19
Authorized Official Name DR. KEVEN TAGDIRI (OWNER)
Authorized Official Telephone 8587563021
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 136A00000X Dietetic Technician, Registered Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered 871851 Dietary & Nutritional Service Providers
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 4401 MANCHESTER AVE
SUITE 103
City ENCINITAS
State CA
Zip Code 92024-4938

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164420469 Katherine J Ludington Internal Medicine 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938 2005-07-11
1376887232 Erika Niedernhofer Dietitian, Registered 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938 2012-11-16
1437312550 James B Shaw, Md, PC Anesthesiology 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938 2008-07-09
1902086523 Samuel Tracer Social Worker 4401 Manchester Ave, # 208, Encinitas, CA 92024-4938 2007-11-12
1518154939 Jason A. Copping Chiropractic Corporation Chiropractor 4401 Manchester Ave, 202, Encinitas, CA 92024-4938 2007-09-29
1689895005 Barbara Lincoln Tracer Social Worker 4401 Manchester Ave, #208, Encinitas, CA 92024-4938 2007-05-01
1124142112 Franklyn Dennis Gile IIi Dentist 4401 Manchester Ave, Suite 203, Encinitas, CA 92024-4938 2007-03-17
1922139674 Yuan Zhi Fu Acupuncturist 4401 Manchester Ave, Suite 202, Encinitas, CA 92024-4938 2007-03-07
1144358987 North Coast Cardiology, Inc. Internal Medicine 4401 Manchester Ave, Suite 103, Encinitas, CA 92024-4938 2007-03-02
1124178900 Nicholas Herkimer Putnam Psychiatry & Neurology 4401 Manchester Ave, Suite #101, Encinitas, CA 92024-4938 2007-01-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326688672 Erika S Roark Nurse Practitioner 754 Bonita Drive, Encinitas, CA 92024 2020-01-14
1871064279 Elana Miller Physical Therapist 285 N El Camino Real Ste 202, Encinitas, CA 92024 2018-12-10
1811478654 Aton Center, Inc. Substance Abuse Rehabilitation Facility 3238 Country Rose Cir, Encinitas, CA 92024 2018-08-28
1124508296 Hardison Medical Corporation Family Medicine 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 2018-08-18
1326544990 Jamin Sarah Sylvada Midwife 1141 Balour Drive, Encinitas, CA 92024 2018-04-03
1457856445 Stephanie Yarnell Optometrist 385 Via Montanosa, Encinitas, CA 92024 2018-03-29
1972002954 J Schaefer Dds Inc Clinic/Center 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 2018-02-06
1538691654 Dr. James C. Lajevic D.m.d. Correct Choice Dental Point of Service 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 2017-03-29
1649720566 Marcia A. Rebelo Social Worker 187 Calle Magdalena Ste 114, Encinitas, CA 92024 2016-10-04
1346698529 Jordan Anne Pinozek Optometrist 1044b N El Camino Real, Encinitas, CA 92024 2016-05-29
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316436645 Rancho Santa Fe Physician Consultants, Inc Internal Medicine 162 South Rancho Santa Fe Road, Suite E70-103, Encinitas, CA 92024-4300 2018-05-02
1528362571 Uc San Diego Internal Medicine 1200 Garden View Rd Ste 200, Encinitas, CA 92024-2475 2011-01-05
1962717918 Peter James Lloyd Internal Medicine 477 N El Camino Real Ste D304, Encinitas, CA 92024 2010-08-15
1396060869 Vikram Kumar Garg Internal Medicine 310 Santa Fr De 311, Encinitas, CA 92024 2010-03-28
1437322070 Christopher Steven Parker Internal Medicine 1042 N El Camino Real Ste B, #116, Encinitas, CA 92024-1322 2008-04-03
1245303122 Michael Neale Rutman Internal Medicine 317 No. El Camino Real, Suite #502, Encinitas, CA 92024-2811 2006-11-16
1104902253 Mark Labeau Internal Medicine 4403 Manchester Ave., Suite 107, Encinitas, CA 92084 2006-10-31
1366531147 Harvey J Hecht Internal Medicine 1655 Avenida La Posta, Encinitas, CA 92024 2006-10-12
1184728586 Jorge A Carrera Internal Medicine 285 N. El Camino Real, Ste #205, Encinitas, CA 92024 2006-09-07
1205871456 Dolly Prerak Doctor Internal Medicine 477 N El Camino Real Ste A208, Encinitas, CA 92024-1329 2006-06-19
Find all providers in ENCINITAS

Competitor

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City ENCINITAS
Zip Code 92024

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Dataset Information

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.

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