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DR. TARAM MBAITOUBAM DABO M.D
NPI 1487763009
Family Medicine in San Diego, CA

Active since August 29, 2006PECOS Enrolled
1919 GRAND AVE STE 1E, SAN DIEGO, CA 92109(858) 270-5454(858) 270-5509 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Taram Mbaitoubam Dabo M.d NPPES

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

DR. TARAM MBAITOUBAM DABO M.D (NPI 1487763009) is an individual family medicine provider in San Diego, California, licensed in California (A78607) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487763009
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TARAM MBAITOUBAM DABOCredential: M.D
Location Address1919 GRAND AVE STE 1ESan Diego, CA 92109-4578
Mailing Address1919 Grand Ave Ste 1eSan Diego, CA 92109-4578 · (858) 270-5454 · Fax (858) 270-5509
Phone(858) 270-5454
Fax(858) 270-5509
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487763009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A78607
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1919 GRAND AVE STE 1E, San Diego, CA 92109
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Other Identifiers 1

Medicare UPINH69722CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Taram Mbaitoubam Dabo M.d 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Taram Dabo's NPI number?

The NPI number for Taram Dabo is 1487763009. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Taram Dabo located?

Taram Dabo practices at 1919 Grand Ave Ste 1E, San Diego, CA 92109. The listed phone number is (858) 270-5454.

What is Taram Dabo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Taram Dabo enrolled in Medicare?

Yes. Taram Dabo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taram Dabo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.