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DR. TALA STEPHANIE GHADIMI I DO
NPI 1619499050
Student in an Organized Health Care Education/Training Program in Glendale, CA

Active since July 07, 2017PECOS EnrolledAccepts Medicare Assignment
801 S CHEVY CHASE DR STE 230, GLENDALE, CA 91205(818) 500-5586(818) 500-5587 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Oct 27, 2020, May 28, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Tala Stephanie Ghadimi I Do NPPES

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

DR. TALA STEPHANIE GHADIMI I DO (NPI 1619499050) is an individual student in an organized health care education/training program in Glendale, California and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2017).

NPPES Registry Identity

NPI1619499050
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TALA STEPHANIE GHADIMI ICredential: DO
Location Address801 S CHEVY CHASE DR STE 230Glendale, CA 91205-4436
Mailing Address801 S Chevy Chase Dr Ste 201Glendale, CA 91205-4435
Phone(818) 500-5586
Fax(818) 500-5587
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2017
Enumeration DateJuly 7, 2017
Last NPPES UpdateFebruary 28, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1619499050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
801 S CHEVY CHASE DR STE 230, Glendale, CA 91205
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tala Stephanie Ghadimi I Do 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 ID6204259666
PECOS Enrollment IDI20200930003163
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.

Other Providers at the Same Location NPPES 6

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

ALLANDALE YAP
Family Medicine
801 S CHEVY CHASE DR STE 230
GLENDALE, CA 91205
Los Angeles County (818) 500-5587
DR. NARE STEPANYAN MD
Family Medicine
801 S CHEVY CHASE DR STE 230
GLENDALE, CA 91205
Los Angeles County (818) 500-5586
NONNA N/A NARIYANTS D.O
Family Medicine
801 S CHEVY CHASE DR STE 230
GLENDALE, CA 91205
Los Angeles County (818) 500-5585
SIRAN SIROP
Family Medicine
801 S CHEVY CHASE DR STE 230
GLENDALE, CA 91205
Los Angeles County (818) 500-5586
DR. ROBERT S. BERBERIAN D.O.
Family Medicine
801 S CHEVY CHASE DR STE 230
GLENDALE, CA 91205
Los Angeles County (818) 500-5586
FAMILY PRACTICE OF GLENDALE A MEDICAL CORPORATION
Family Medicine
801 S CHEVY CHASE DR STE 230
GLENDALE, CA 91205
Los Angeles County (818) 500-5586

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 Tala Ghadimi's NPI number?

The NPI number for Tala Ghadimi is 1619499050. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Tala Ghadimi located?

Tala Ghadimi practices at 801 S Chevy Chase Dr Ste 230, Glendale, CA 91205. The listed phone number is (818) 500-5586.

What is Tala Ghadimi's specialty?

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

Is Tala Ghadimi enrolled in Medicare?

Yes. Tala Ghadimi 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.

When was this NPI record last updated?

The NPPES record for Tala Ghadimi was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.