SULTANA LAILA TABARAEE MD
NPI 1376787432
Student in an Organized Health Care Education/Training Program in Pleasanton, CA

Active since April 20, 2009PECOS Enrolled
7601 STONERIDGE DR, PLEASANTON, CA 94588(925) 847-5050 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sultana Laila Tabaraee Md NPPES

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

SULTANA LAILA TABARAEE MD (NPI 1376787432) is an individual student in an organized health care education/training program in Pleasanton, California and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376787432
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSULTANA LAILA TABARAEECredential: MD
Location Address7601 STONERIDGE DRPleasanton, CA 94588-4501
Mailing Address7601 Stoneridge DrPleasanton, CA 94588-4501
Sole ProprietorYes
Enumeration DateApril 20, 2009
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1376787432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7601 STONERIDGE DR, Pleasanton, CA 94588

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sultana Laila Tabaraee Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sultana Tabaraee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Child & Adolescent Psychiatry)
7601 STONERIDGE DR
PLEASANTON, CA 94588
Nurse Practitioner (Adult Health)
7601 STONERIDGE DR
PLEASANTON, CA 94588
Pediatrics
7601 STONERIDGE DR
PLEASANTON, CA 94588
Family Medicine
7601 STONERIDGE DR
PLEASANTON, CA 94588
Pharmacist
7601 STONERIDGE DR, SOUTH 1 PHARMACY 1ST FLOOR
PLEASANTON, CA 94588
Family Medicine
7601 STONERIDGE DR
PLEASANTON, CA 94588
Family Medicine
7601 STONERIDGE DR
PLEASANTON, CA 94588
Nurse Practitioner (Adult Health)
7601 STONERIDGE DR
PLEASANTON, CA 94588

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 Sultana Tabaraee's NPI number?

The NPI number for Sultana Tabaraee is 1376787432. It was assigned to this individual provider in the NPPES registry on April 20, 2009.

Where is Sultana Tabaraee located?

Sultana Tabaraee practices at 7601 Stoneridge Dr, Pleasanton, CA 94588. The listed phone number is (925) 847-5050.

What is Sultana Tabaraee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sultana Tabaraee enrolled in Medicare?

Yes. Sultana Tabaraee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sultana Tabaraee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sultana Tabaraee reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The 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 Sultana Tabaraee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sultana Tabaraee was last updated on February 11, 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.