Bakhtiar Moussazadeh, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A108651 Issued in CA

Practice address

5620 Wilbur Ave Ste 305
Tarzana, CA 91356-1311

Phone

(818) 578-5326

Fax

(951) 272-9924

NPI assigned

Jun 4, 2010

Last updated

Feb 16, 2018By the provider in NPPES

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

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• La Medical Clinic Inc

  • Primary Care Nurse Practitioner
  • Glendale, CA
  • NPI 1790242758

  Multi-Specialty

  Medicare reassignment NPD
• California Pain Center PC

  • Anesthesiology Physician
  • Tarzana, CA
  • NPI 1558994855
  NPD
• United Sonomed Radiology Inc.

  • Diagnostic Radiology Physician
  • Tarzana, CA
  • NPI 1033845292
  NPD (past)

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1043530660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "800-626-2468",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE STE 305",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561311",
            "telephone_number": "818-578-5326",
            "fax_number": "951-272-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSAZADEH",
        "first_name": "BAKHTIAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A108651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A108651",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai Surgery Group, Inc (Mount Sinai Medical Group)
• Mountain View Treatment Center LLC
• Karine Ekmekji Mouradian, MD
• Monica Moussanejad, DDS
• Mina Moussavian-Assadi, M.D.
• Kenneth L Moy, M.D.
• Sataporn Muang-in, MD
• Mudjianto Chandra, M.D., Inc.
• Marvin Mungcal
• Janeisy Muniz

• Pain Medicine (Anesthesiology) Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.