MEDICARE: KIANA TABA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	ME128242	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770995128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIANA TABA M.D.

Provider Business Mailing Address
First Line	:	320 SUPERIOR AVE STE 310
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-2742
Country	:	US
Telephone Number	:	949-438-3848
Fax Number	:	949-438-3834

Provider Business Practice Location Address
First Line	:	320 SUPERIOR AVE STE 310
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-2742
Country	:	US
Telephone Number	:	949-438-3848
Fax Number	:	949-438-3834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2014
Last Update Date	:	10/29/2025

Similar Medicare Providers

1104871938 — DR. CAMERON KHAVARIAN M.D.
Practice Location Address:

320 SUPERIOR AVENUE , SUITE 320
NEWPORT BEACH, CA
92663-2742

Practice Phone: 949-645-8475
Practice Fax: 855-213-1762

1528138823 — CAMERON KHAVRIAN, MD INC
Practice Location Address:

320 SUPERIOR AVENUE , SUITE 320
NEWPORT BEACH, CA
92663-2742

Practice Phone: 949-645-8475
Practice Fax: 855-213-1762

1235445172 — STEPHEN P ANGEL MD INC A MEDICAL CORPORATION
Practice Location Address:

320 SUPERIOR AVE STE 320
NEWPORT BEACH, CA
92663-2742

Practice Phone: 949-548-9396
Practice Fax:

1710771001 — KIANA TABA, MD, INC.
Practice Location Address:

320 SUPERIOR AVE STE 310
NEWPORT BEACH, CA
92663-2742

Practice Phone: 949-438-3848
Practice Fax:

1205026077 — DR. CHRISTAL BERNOUS PH.D.
Practice Location Address:

1451 QUAIL ST , SUITE 102
NEWPORT BEACH, CA
92660-2742

Practice Phone: 714-345-7235
Practice Fax:

1881856292 — CHILDREN THERAPY STUDIO
Practice Location Address:

1451 QUAIL ST , SUITE 105
NEWPORT BEACH, CA
92660-2742

Practice Phone: 949-355-6111
Practice Fax:

Directions to “ KIANA TABA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.