Organization Active NPI

Kiarash Bakhaj Inc

  • Podiatrist
  • Anaheim, CA
National Provider Identifier
1093577496
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
KIARASH BAKHAJ INC
Practice address
408 S Beach Blvd Ste 102
Anaheim, CA 92804-1868
Phone
(714) 204-8766
NPI assigned
Jan 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Kiarash Bakhaj, DPMNPI 1235662255
Title
Owner, Authorized Official
Phone
(714) 204-8766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

408 S Beach Blvd Ste 102
Anaheim, CA 92804-1868

Mailing address

408 S Beach Blvd Ste 102
Anaheim, CA 92804-1868

Other names 1

  • Western Podiatry Doing business as

National Provider Directory

National Provider Directory

Locations

408 S Beach Blvd
Ste 102
Anaheim, CA 92804
Phone (714) 204-8766

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1093577496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BEACH BLVD STE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041868",
            "telephone_number": "714-204-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIARASH BAKHAJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "BAKHAJ",
        "authorized_official_first_name": "KIARASH",
        "authorized_official_title_or_position": "OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "714-204-8766",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.