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

Dr. Tala Stephanie Ghadimi I, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619499050

Dr. Tala Stephanie Ghadimi I, DO is a Family Practice in Glendale, California. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
In the registry since
2017
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

801 S Chevy Chase Dr Ste 230
Glendale, CA 91205-4436
Phone: (818) 500-5586
Fax: (818) 500-5587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619499050
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 7, 2017
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
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 locations3 on file with Medicare

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