Tara Aghaloo, DDS, MD, PHD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Los Angeles, California. Her current practice location is
10833 Le Conte Ave, Room A0-156, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 794-7070.
Tara Aghaloo is licensed to practice in California (license number 42718) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740464692.
Healthcare Provider's Profile
Full Name | Tara Aghaloo |
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Gender | Female |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 10833 Le Conte Ave, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740464692
- Provider Enumeration Date: 12/27/2007
- Last Update Date: 03/26/2013
Medicare PECOS Information:
- PECOS PAC ID: 1052583614
- Enrollment ID: I20111004000681
Medical Identifiers
Medical identifiers for Tara Aghaloo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740464692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 42718 (California) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 42718 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tara Aghaloo allows following entities to bill medicare on her behalf.
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689692303 PECOS PAC ID: 8820268063 Enrollment ID: O20110826000254 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tara Aghaloo is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tara Aghaloo, DDS, MD, PHD 5767 W Century Blvd, Suite 400, Los Angeles, CA 90045-5631 Ph: (310) 825-0834 | Tara Aghaloo, DDS, MD, PHD 10833 Le Conte Ave, Room A0-156, Los Angeles, CA 90095-3075 Ph: (310) 794-7070 |
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