Individual provider Active NPI

Bahar Nehawandian, DC

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1124148713
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 24532 Issued in CA
Practice address
3151 Olin Ave Ste 100
San Jose, CA 95117-1635
Phone
(408) 261-2222
Fax
(408) 261-0310
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 24532 CA Primary

Addresses

Primary practice location

3151 Olin Ave Ste 100
San Jose, CA 95117-1635

Mailing address

3151 Olin Ave Ste 100
San Jose, CA 95117-1635
Phone (408) 261-2222

Other identifiers 1

IdentifierTypeStateIssuer
DC0245320OtherCABLUE SHIELD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000247 CA Practitioner - Chiropractic 9638239213 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3151 Olin Ave
Suite 100
San Jose, CA 95117-1635
Phone (408) 261-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24532CAMDMarriage & Family Therapist
DC 24532CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bahar Nehawandian Chiropractic Corp. Chiropractor CurrentSince Mar 5, 2018 Accepting new patients

Locations

3151 Olin Ave
#100
San Jose, CA 95117
Phone (408) 261-0722

3151 Olin Ave
Ste 100
San Jose, CA 95117
Phone (408) 261-2222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124148713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 OLIN AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171635",
            "telephone_number": "408-261-2222",
            "fax_number": "408-261-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 OLIN AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171635",
            "telephone_number": "408-261-2222",
            "fax_number": "408-261-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHAWANDIAN",
        "first_name": "BAHAR",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 24532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "DC0245320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.