Raffi Tachdjian (NPI# 1447376454, PAC ID# 2163529926) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1447376454 |
| PAC ID by PECOS | 2163529926 |
| Professional Enrollment ID | I20070514000329 |
| Full Name | Raffi Tachdjian |
| Address |
1301 20th St Suite 380 Santa Monica CA 90404-2087 |
| Gender | M |
| Credential | MD |
| Medical School | MOREHOUSE SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050290 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 191 S Buena Vista St, Suite 330, Burbank, CA 91505-4554 | 8185614533 | AIRE MEDICAL GROUP INC |
| 1301 20th St, Suite 380, Santa Monica, CA 90404-2087 |
| Street Address |
1301 20TH ST SUITE 380 |
| City | SANTA MONICA |
| State | CA |
| Zip | 90404-2087 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia L Plehn | Certified Registered Nurse Anesthetist (crna) | West Los Angeles Anesthesia Services LLC | 1301 20th St, Suite 376, Santa Monica, CA 90404-2087 |
| Angela Nishio | Obstetrics/gynecology | Providence Saint Johns Medical Foundation | 1301 20th St, Santa Monica, CA 90404-2053 |
| Stella E Panos | Psychologist, Clinical | Providence Saint Johns Medical Foundation | 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 |
| William A Pullen | Endocrinology | 1301 20th St, Suite 550, Santa Monica, CA 90404-2054 | |
| Lewis Kanengiser | Internal Medicine | 1301 20th St, Suite 550, Santa Monica, CA 90404-2054 | |
| Gilbert J Kuhn | Allergy/immunology | Respiratory Consultants of Santa Monica | 1301 20th St, Suite 360, Santa Monica, CA 90404-2087 |
| Lenna A Martyak | Gastroenterology | Providence Saint Johns Medical Foundation | 1301 20th St, Santa Monica, CA 90404-2053 |
| Shanthi Gowrinathan | Psychiatry | Providence Saint Johns Medical Foundation | 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 |
| Keith G Heinzerling | Addiction Medicine | Providence Saint Johns Medical Foundation | 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 |
| Scott A Kaiser | Geriatric Medicine | Providence Saint Johns Medical Foundation | 1301 20th St, Suite 145, Santa Monica, CA 90404-2050 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vivanti N Jain | Plastic and Reconstructive Surgery | 2021 Santa Monica Blvd, Santa Monica, CA 90404-0001 | |
| Margaret Ann Regan Rainey | Nurse Practitioner | Regents of The University of California | 1225 15th St, Suite 2100, Santa Monica, CA 90404-1101 |
| Ralph A Massey | Dermatology | 1260 15th St, Suite 1401, Santa Monica, CA 90404-1106 | |
| Peter Galier | Internal Medicine | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| John Patrick Whelan | Rheumatology | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Melissa D Alexander | Qualified Audiologist | 1260 15th St, P2, Santa Monica, CA 90404-1135 | |
| Malena Shu-chuan Law | General Practice | Premier Health Partners of Santa Monica | 1260 15th St, Suite 1415, Santa Monica, CA 90404-1135 |
| Mohammed Fahad Ali | Internal Medicine | The Regents of The University of California | 1260 15th St, Suite 1502, Santa Monica, CA 90404-1135 |
| Manoochehr Yashari | Obstetrics/gynecology | 1260 15th St, Suite 616, Santa Monica, CA 90404-1141 | |
| Quynhtrang Le Sebastian | Dermatology | 1260 15th St, Suite 709, Santa Monica, CA 90404-1142 | |
| Find all physicians in zip 90404 | |||
| City | SANTA MONICA |
| Zip Code | 90404 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | SANTA MONICA + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Raffi Tachdjian.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.