ELI TABARAI, DMD DENTAL CORPORATION, A PROFESSIONAL DENTAL CORPORATION
NPI 1194041533
Oral & Maxillofacial Surgery in Los Angeles, CA
About Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELI TABARAI, DMD DENTAL CORPORATION, A PROFESSIONAL DENTAL CORPORATION (NPI 1194041533) is a healthcare organization registered as an oral & maxillofacial surgery in Los Angeles, California and active in the NPI registry since April 2010. The organization lists Eli Tabariai, Owner/ Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Los Angeles, CA 90049
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation's NPI number?
The NPI number for Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation is 1194041533. It was assigned to this organization in the NPPES registry on April 9, 2010.
Where is Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation located?
Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation is located at 11980 San Vicente Blvd Ste 802, Los Angeles, CA 90049. The listed phone number is (310) 415-3521.
What is Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation enrolled in Medicare?
Yes. Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eli Tabarai, Dmd Dental Corporation, A Professional Dental Corporation · NPI 1194041533
Oral & Maxillofacial Surgery organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since April 9, 2010.
## Identity
- **NPI:** 1194041533 (Entity type: Organization)
- **Enumerated:** April 9, 2010
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **Organization subpart:** No
- **Authorized official:** Eli Tabariai, OWNER/ DOCTOR
## Practice location
- **Address:** 11980 SAN VICENTE BLVD STE 802, Los Angeles, CA 90049-6606
- **Phone:** (310) 415-3521 · **Fax:** (323) 544-2994
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Maxillofacial Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 18, 2022
- **Other identifiers:** Other 1223S0112X (CA); Other 193400000X (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1194041533) · Data from the CMS NPPES public registry.