Bahram Parsa, M.D., PH D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A36632 Issued in CA

Practice address

100 UCLA Medical PLZ
Suite 245
Los Angeles, CA 90024-6970

Phone

(310) 208-0099

Fax

(310) 208-0963

NPI assigned

Mar 28, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 100 Plaza Clinical Lab Inc

  • Clinical Medical Laboratory
  • Los Angeles, CA
  • NPI 1194834028
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1013250927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "SUITE 245",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246970",
            "telephone_number": "310-208-0099",
            "fax_number": "310-208-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ",
            "address_2": "SUITE 245",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246970",
            "telephone_number": "310-208-0099",
            "fax_number": "310-208-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSA",
        "first_name": "BAHRAM",
        "name_prefix": "Dr.",
        "credential": "M.D., PH D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A36632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A36632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Parrish Lopez
• Manasi Soni Parrish, MD
• Jane Parrott, LMFT
• Emily Christine Parry, LCSW
• Parsa Endodontics Dental Group PC
• Pejman Parsa, DDS , MS
• Shahab Parsa
• Gayaneh Parsanj
• Joe Parsee Willie Parsee III
• Alex Parsi, D. D. S.

• Anatomic Pathology & Clinical Pathology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.