DR. GEORGE FON JR. TABI (M.D.) – Family Medicine Physician, NPI 1104180835
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. GEORGE FON JR. TABI (M.D.)
1671 W Main St Ste B
El Centro, CA 922435420
Phone: (760) 592-7760
Type: Location
465 GYPSY LN
YOUNGSTOWN, OH 445041361
Phone: (404) 849-1774
Type: Mailing
500 GYPSY LN
YOUNGSTOWN, OH 445041315
Phone: (404) 849-1774
Type: Location
850 Pavillion Pkwy
Monroe, GA 306565012
Phone: (678) 395-0010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150625002670 | I | Family Practice | FL | TBD |
| I20230106000034 | I | Family Practice | GA | TBD |
| I20240122004164 | I | Psychiatry | CA | TBD |
| I20250116000964 | I | Family Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92243)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA |
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