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KEVEN TAGDIRI, MD, INC.
NPI 1407858178
Internal Medicine in Encinitas, CA

Active since August 12, 2005CLIA 05D0691284 · Waiver
4401 MANCHESTER AVE, SUITE 103, ENCINITAS, CA 92024(858) 756-3021 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keven Tagdiri, Md, Inc. NPPES

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

KEVEN TAGDIRI, MD, INC. (NPI 1407858178) is a healthcare organization registered as an internal medicine in Encinitas, California and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Keven Tagdiri, President, as its authorized official.

NPPES Registry Identity

NPI1407858178
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEVEN TAGDIRI, MD, INC.
Location Address4401 MANCHESTER AVE, SUITE 103Encinitas, CA 92024-4938
Mailing Address4401 Manchester Ave, Suite 103Encinitas, CA 92024-4938 · (858) 756-3021
Phone(858) 756-3021
Organization SubpartNo
Authorized OfficialKeven TagdiriPresident · (858) 756-3021
Enumeration DateAugust 12, 2005
Last NPPES UpdateJanuary 25, 2010
✔ NPI 1407858178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 01596
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.
4401 MANCHESTER AVE, Encinitas, CA 92024
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0691284

Keven Tagdiri MD · Encinitas, CA
Active · expires Mar 7, 2027
CLIA Number05D0691284
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorKeven Tagdiri
Laboratory Phone(858) 756-3021
Laboratory LocationKeven Tagdiri MD4401 Manchester Ave, Ste 103, Encinitas, CA 92024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

MR. DANIEL JAMES MCGRATH MFT
Marriage & Family Therapist
4401 MANCHESTER AVE, SUITE 204
ENCINITAS, CA 92024
San Diego County (619) 888-6444
DR. FRANKLYN DENNIS GILE III D.D.S.
Dentist (General Practice)
4401 MANCHESTER AVE, SUITE 203
ENCINITAS, CA 92024
San Diego County (760) 753-9036
DR. NICHOLAS HERKIMER PUTNAM M.D.
Psychiatry & Neurology (Psychiatry)
4401 MANCHESTER AVE, SUITE #101
ENCINITAS, CA 92024
San Diego County (760) 753-4564
NORTH COAST CARDIOLOGY, INC.
Internal Medicine (Cardiovascular Disease)
4401 MANCHESTER AVE, SUITE 103
ENCINITAS, CA 92024
San Diego County (760) 753-0220
DR. KATHERINE J LUDINGTON M.D.
Internal Medicine (Cardiovascular Disease)
4401 MANCHESTER AVE, SUITE 103
ENCINITAS, CA 92024
San Diego County (760) 753-0220
NANCY V MCTIGUE MD
Psychiatry & Neurology (Psychiatry)
4401 MANCHESTER AVE, STE. 108
ENCINITAS, CA 92024
San Diego County (760) 942-2742
ERIKA NIEDERNHOFER
Dietitian, Registered (Nutrition, Metabolic)
4401 MANCHESTER AVE, SUITE 103
ENCINITAS, CA 92024
San Diego County (858) 756-3021
JAMES B SHAW, MD, PC
Anesthesiology (Pain Medicine)
4401 MANCHESTER AVE, SUITE 103
ENCINITAS, CA 92024
San Diego County (760) 632-7246

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 Keven Tagdiri, MD, Inc.'s NPI number?

The NPI number for Keven Tagdiri, MD, Inc. is 1407858178. It was assigned to this organization in the NPPES registry on August 12, 2005.

Where is Keven Tagdiri, MD, Inc. located?

Keven Tagdiri, MD, Inc. is located at 4401 Manchester Ave Suite 103, Encinitas, CA 92024. The listed phone number is (858) 756-3021.

What is Keven Tagdiri, MD, Inc.'s specialty?

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

Does Keven Tagdiri, MD, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0691284) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Keven Tagdiri, MD, Inc. was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.