Pouya Bahrami DO, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

POUYA BAHRAMI DO, INC

Practice address

1245 Wilshire Blvd
Suite 611
Los Angeles, CA 90017-4810

Phone

(213) 481-2200

NPI assigned

Sep 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pouya Bahrami, D.O.NPI 1871526301

Title

President

Phone

(213) 481-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pouya Bahrami, DO

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1871526301
  Medicare reassignment Authorized official
• Angelina D Bucu, NP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1730522764

  CA

  Medicare reassignment NPD
• Janee Malan, PA-C

  • Physician Assistant
  • Beverly Hills, CA
  • NPI 1750845483
  Medicare reassignment

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1053506402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-481-2200",
            "fax_number": "213-481-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "SUITE 611",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174810",
            "telephone_number": "213-481-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POUYA BAHRAMI DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "BAHRAMI",
        "authorized_official_first_name": "POUYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-481-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Mayer Pourshalimi, MD
• Hamideh Pourzand, RN, NP, MSN
• Lila Pourzand, M.D.
• Sara Pousti, M.D.
• Pouya Bahrami DO Inc.
• Pouya Benyamini MD Inc
• Pouya Shafipour MD Inc
• Bahareh Pouya, DDS
• Parmis Pouya, MD
• Shiva Pouya, DDS

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.