Bahareh Haykani, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

58571 Issued in CA

Practice address

18700 Collins St
Tarzana, CA 91356-1493

Phone

(310) 882-1203

NPI assigned

Jul 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1124514773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CANOGA AVE STE 102",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672555",
            "telephone_number": "310-882-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 COLLINS ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561493",
            "telephone_number": "310-882-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYKANI",
        "first_name": "BAHAREH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7154",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neda Hasan
• Nisha Eugene Hatia, NP
• Mark Hausknecht
• Joie Lynn Samonte Haydel
• Christie Marie Hayes, R1329441118
• Elisha Haykani, DDS
• Charles N Headrick, MD
• Healing Center of Tarzana Medical Group
• Healing House Community Center
• Health Control Home Health Care

• All providers in Tarzana, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.