Look up the most recent NPI and PECOS records

Anthony Ryan Tabet

Internal Medicine

Allopathic & Osteopathic Physicians

1250 16th St # C2304, Santa Monica, CA 90404-1249

PECOS Enrollment

This provider is enrolled in PECOS as ANTHONY TABET.

Based on the most recent information from CMS, provider Anthony Ryan Tabet is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1174055388
Provider Type
Individual
Full Name
Tabet, Anthony Ryan
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/28/2017
Last Updated
3/7/2023

Contact Information

Practice Location

1250 16th St # C2304, Santa Monica, CA 90404-1249

(310) 319-4698

Unlisted Fax

Mailing Location

5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License A16876 California

Provider Identifiers

ID	Description	Issuer
ID A16876	Description Other	Issuer STATE LICENSE California

Anthony Ryan Tabet

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Prasad, Preethi

Lee, Ji Young

Wells, Lindsay Katherine

Liu, Yao

Westside Primary Care, Inc.

Yi, Pauline

Ho, Gavin Kume-Fung

Wei, Margaret

Kang, Daniel Won

Wilkinson, Ariana