John Bahram Seradj, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A32900 Issued in CA

Practice address

477 N El Camino Real
Suite A300
Encinitas, CA 92024

Phone

(760) 942-6120

Fax

(760) 942-8187

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bahram Seradj Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• John B Seradj MD Inc.

  • Obstetrics & Gynecology Physician
  • Encinitas, CA
  • NPI 1952656456
  NPD (past) Authorized official
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1023180650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "SUITE A308",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-942-6120",
            "fax_number": "760-942-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "SUITE A300",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-942-6120",
            "fax_number": "760-942-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERADJ",
        "first_name": "JOHN",
        "middle_name": "BAHRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A32900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAHRAM",
            "last_name": "SERADJ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Agneta E Selhagen Cowing, RPH
• Kenneth Allen Selzer, M.D.
• Maninder Semby
• Jennifer Lynn Semmes, LCSW
• Thomas E Senterfitt
• Francesca Serraino Fiory, DACM
• John Seul, DMD,MD
• Nala Ana Alan Sewall, N.P.
• Perry Wayne Sexton, MD
• Emma Michele Shaffer, PT, DPT

• Gynecology Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.