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DR. ELI TABARIAI D.M.D.
NPI 1437310646
Oral & Maxillofacial Surgery in Los Angeles, CA

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
11980 SAN VICENTE BLVD STE 802, LOS ANGELES, CA 90049(310) 415-3521(323) 544-2994 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2021, Jul 6, 2021, May 24, 2021 (3 updates tracked since 2021).

About Dr. Eli Tabariai D.m.d. NPPES

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

DR. ELI TABARIAI D.M.D. (NPI 1437310646) is an individual oral & maxillofacial surgery provider in Los Angeles, California, licensed in California (56696) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1437310646
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ELI TABARIAICredential: D.M.D.
Location Address11980 SAN VICENTE BLVD STE 802Los Angeles, CA 90049-6606
Mailing AddressPo Box 24530Los Angeles, CA 90024-0530 · (310) 415-3521 · Fax (323) 544-2994
Phone(310) 415-3521
Fax(323) 544-2994
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 19, 2008
Last NPPES UpdateMarch 22, 20223 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1437310646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CA · 56696
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
11980 SAN VICENTE BLVD STE 802, Los Angeles, CA 90049
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eli Tabariai D.m.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941338537
PECOS Enrollment IDI20100430000570
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Other Providers at the Same Location NPPES 2

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

ELI TABARAI, DMD DENTAL CORPORATION, A PROFESSIONAL DENTAL CORPORATION
Oral & Maxillofacial Surgery
11980 SAN VICENTE BLVD STE 802
LOS ANGELES, CA 90049
Los Angeles County (310) 415-3521
DR. SIMA SHOUMER DDS
Dentist (General Practice)
11980 SAN VICENTE BLVD STE 802
LOS ANGELES, CA 90049
Los Angeles County (310) 820-3520

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 Tabariai's NPI number?

The NPI number for Eli Tabariai is 1437310646. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Eli Tabariai located?

Eli Tabariai practices at 11980 San Vicente Blvd Ste 802, Los Angeles, CA 90049. The listed phone number is (310) 415-3521.

What is Eli Tabariai's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Eli Tabariai enrolled in Medicare?

Yes. Eli Tabariai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eli Tabariai accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Eli Tabariai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eli Tabariai was last updated on March 22, 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.