DR. HAMED TAHERI M.D. NPI 1679766745

NPI Information

NPI: 1679766745
Provider Name: DR. HAMED TAHERI, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
1045 ATLANTIC AVE STE 512
LONG BEACH, CA
ZIP 90813
Phone: (562) 435-0862
Get Directions

DR. Hamed Taheri, M.D. is a vascular surgery surgery in Long Beach, CA with 18 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Hamed Taheri, M.D. NPI is 1679766745. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1045 ATLANTIC AVE STE 512
LONG BEACH, CA
ZIP 90813-422
Phone: (562) 435-0862
Fax: (562) 435-0863

The NPI 1679766745 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 12/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	MD446301	PENNSYLVANIA	Yes
2	208600000X	Surgery		274616	NEW YORK	No
3	208600000X	Surgery		MD446301	PENNSYLVANIA	No
4	390200000X	Student in an Organized Health Care Education/Training Program			VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103082942	MEDICAID	PENNSYLVANIA
2	112351300	MEDICAID	MARYLAND
3	A138318	OTHER	CALIFORNIA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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