Tatum Dobalian, is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Los Angeles, California. Her current practice location is
757 Westwood Plz Ste 3325, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 267-8626.
Tatum Dobalian is licensed to practice in California (license number 95136732) 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 1255108692.
Physician's Profile
Full Name | Tatum Dobalian |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 757 Westwood Plz Ste 3325, 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: 1255108692
- Provider Enumeration Date: 12/06/2023
- Last Update Date: 04/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 5092152637
- Enrollment ID: I20240319002146
Medical Identifiers
Medical identifiers for Tatum Dobalian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255108692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 95002319 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95136732 (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. Tatum Dobalian allows following entities to bill medicare on her behalf.
Entity Name | 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: 1326096165 PECOS PAC ID: 8527971316 Enrollment ID: O20031107000404 |
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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. Tatum Dobalian 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 |
Tatum Dobalian, 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Tatum Dobalian, 757 Westwood Plz Ste 3325, Los Angeles, CA 90095-8358 Ph: (310) 267-8626 |
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