SHOKOUH TAMADON MD NPI 1992703912

NPI Information

NPI: 1992703912
Provider Name: SHOKOUH TAMADON, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
15111 WHITTIER BLVD
SUITE 102
WHITTIER, CA
ZIP 90603
Phone: (562) 945-6440
Get Directions

Shokouh Tamadon, MD is a general practice in Whittier, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Shokouh Tamadon, MD NPI is 1992703912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15111 WHITTIER BLVD
SUITE 102
WHITTIER, CA
ZIP 90603-136
Phone: (562) 945-6440
Fax: (562) 945-9121

The NPI 1992703912 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 7/13/2005 and was last updated on 4/20/2010.

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	208D00000X	General Practice		A48517	CALIFORNIA	Yes

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	A48517	OTHER	CALIFORNIA	BCBS
2	B002	OTHER	CALIFORNIA	CHAMPUS
3	080181067	OTHER	CALIFORNIA	MEDICARE RAIL ROAD
4	E99305	MEDICARE UPIN
5	00A485170	MEDICAID	CALIFORNIA
6	00A485170	OTHER	CALIFORNIA	BLUE SHIELD
7	WA48517E	MEDICARE PIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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