| Dr Shahram Tabib, MD | |
|
1420 S Central Ave, Glendale, CA 91204-2508 | |
| (818) 502-1900 | |
| Not Available |
| Full Name | Dr Shahram Tabib |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 1420 S Central Ave, Glendale, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609819887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 36593 (Nebraska) | Secondary |
| 207P00000X | Emergency Medicine | A69677 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Menifee Global Medical Center | Sun city, CA | Hospital |
| Hemet Global Medical Center | Hemet, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Chi Health Bergan Mercy | Omaha, NE | Hospital |
| Adventist Health Howard Memorial | Willits, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ton Sells Hospital | 5092768663 | 26 |
| Alegent Creighton Clinic | 1951210418 | 890 |
| Entity Name | Ton Sells Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487652426 PECOS PAC ID: 5092768663 Enrollment ID: O20050301000125 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shahram Tabib, MD 8581 Santa Monica Blvd, 421, West Hollywood, CA 90069-4120 Ph: (310) 597-9786 | Dr Shahram Tabib, MD 1420 S Central Ave, Glendale, CA 91204-2508 Ph: (818) 502-1900 |
Cheryl Lee Jang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206 Phone: 818-863-4000 | |
Dr. Josiah Friedlander, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1420 S Central Ave, Glendale, CA 91204 Phone: 818-502-2344 Fax: 818-502-4501 | |
Dr. Gil Z Shlamovitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100 | |
Tyler Ronnfeldt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100 | |
Peter Utas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1509 Wilson Ter, Emergency Department, Glendale, CA 91206 Phone: 818-409-8000 | |
Peter E Shin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1509 Wilson Ter, Emergency Dept. - Glendale Adventist Medical Center, Glendale, CA 91206 Phone: 818-409-8000 | |
Dr. Ryan Raam, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1812 Verdugo Blvd, Glendale, CA 91208 Phone: 818-790-7100 |