Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edgar Vincent Tabila, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841528346

Dr. Edgar Vincent Tabila, DO is a Family Practice in Warren, Michigan. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

27450 Schoenherr Rd Ste 400
Warren, MI 48088-6683
Phone: (586) 582-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 20A18381 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841528346
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 23, 2009
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing addressPhr Group Provider Enrollment Unit 3rd Fl, 393 E Walnut St, Pasadena, CA 91188-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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