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AZITA TAGHAVY - A PROFESSIONAL CORP
NPI 1205406477
Internal Medicine in Corte Madera, CA

Active since June 29, 2021
21 TAMAL VISTA BLVD STE 110, CORTE MADERA, CA 94925(415) 924-5010(415) 924-5210 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 22, 2021, Jun 29, 2021 (2 updates tracked since 2021).

About Azita Taghavy - A Professional Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZITA TAGHAVY - A PROFESSIONAL CORP (NPI 1205406477) is a healthcare organization registered as an internal medicine in Corte Madera, California and active in the NPI registry since June 2021. The organization lists Azita Taghavy, President, as its authorized official.

NPPES Registry Identity

NPI1205406477
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAZITA TAGHAVY - A PROFESSIONAL CORP
Location Address21 TAMAL VISTA BLVD STE 110Corte Madera, CA 94925-1122
Mailing Address21 Tamal Vista Blvd Ste 110Corte Madera, CA 94925-1122 · (415) 924-5010 · Fax (415) 924-5210
Phone(415) 924-5010
Fax(415) 924-5210
Organization SubpartNo
Authorized OfficialAzita TaghavyPresident · (415) 924-5010
Enumeration DateJune 29, 2021
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1205406477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
21 TAMAL VISTA BLVD STE 110, Corte Madera, CA 94925
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Azita Taghavy - A Professional Corp 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 Azita Taghavy - A Professional Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Azita Taghavy, M.D.
Internal Medicine
NPI 1295980431
250 BON AIR RD, MARIN GENERAL HOSPITAL
Greenbrae, CA 94904
(510) 230-3320
✔ PECOS✔ Accepts Medicare1.5 mi

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 Azita Taghavy - A Professional Corp's NPI number?

The NPI number for Azita Taghavy - A Professional Corp is 1205406477. It was assigned to this organization in the NPPES registry on June 29, 2021.

Where is Azita Taghavy - A Professional Corp located?

Azita Taghavy - A Professional Corp is located at 21 Tamal Vista Blvd Ste 110, Corte Madera, CA 94925. The listed phone number is (415) 924-5010.

What is Azita Taghavy - A Professional Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Azita Taghavy - A Professional Corp enrolled in Medicare?

Yes. Azita Taghavy - A Professional Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Azita Taghavy - A Professional Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Azita Taghavy - A Professional Corp. 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 Azita Taghavy - A Professional Corp was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.