Individual provider Active NPI

Bahar Fazeli, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1104038462
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A105819 Issued in CA
Practice address
1500 San Pablo St
Los Angeles, CA 90033-5313
Phone
(323) 442-7400
Fax
(323) 442-7411
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A105819 CA Primary

Addresses

Primary practice location

1500 San Pablo St
Los Angeles, CA 90033-5313

Mailing address

1520 San Pablo St
Suite 3451
Los Angeles, CA 90033-5310
Phone (323) 442-7400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110929000108 CA Practitioner - AnesthesiologyPractitioner - Pain Management 5698946333 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Jefferson Medical College of Thomas Jefferson University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rancho Springs Anesthesia Partners IncGroup PAC ID 5991247306, 31 clinicians
Temecula Valley Anesthesia Partners IncGroup PAC ID 0648618876, 34 clinicians
Inland Valley Anesthesia Partners IncGroup PAC ID 7012355423, 32 clinicians

Practice addresses (Care Compare)

25500 Medical Ctr Dr
Murrieta, CA 92562-5965
Phone (951) 696-6000

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A105819CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orion Anesthesia Consultants Inc Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Trinity Anesthesia Group Inc Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Inland Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Rancho Springs Anesthesia Partners, Inc Anesthesiology CurrentSince Apr 9, 2024 Accepting new patients
Temecula Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Apr 14, 2024 Accepting new patients
Temecula Surgery Anesthesia Partners, Inc Anesthesiology CurrentSince Apr 14, 2024 Accepting new patients
Uscan Anesthesiology Medical Group, Inc. Anesthesiology Past Accepting new patients

Locations

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

25495 Medical Center Dr
Ste 101
Murrieta, CA 92562
Phone (951) 200-7777

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

8945 Magnolia Ave
Ste 200
Riverside, CA 92503
Phone (951) 643-4961

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

31625 De Portola Rd
Ste 101
Temecula, CA 92592
Phone (951) 501-4200

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Interoperability endpoints

  • Direct secure messaging: bfazeli331102@direct.llu.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1104038462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST",
            "address_2": "SUITE 3451",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335310",
            "telephone_number": "323-442-7400",
            "fax_number": "323-442-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-7400",
            "fax_number": "323-442-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZELI",
        "first_name": "BAHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A105819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.