Organization Active NPI

Bavand PC

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1124535406
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BAVAND PC
Practice address
18632 Beach Blvd Ste 100
Huntington Beach, CA 92648-2047
Phone
(714) 962-3633
NPI assigned
Jan 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Bavand Youssefzadeh, DO
Title
Delegated Official
Phone
(858) 455-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

18632 Beach Blvd Ste 100
Huntington Beach, CA 92648-2047

Mailing address

18632 Beach Blvd Ste 100
Huntington Beach, CA 92648-2047

Other practice location 1

6300 Wilshire Blvd Ste 100
Los Angeles, CA 90048-5203
Phone (323) 936-5140

National Provider Directory

National Provider Directory

Locations

6300 Wilshire Blvd
Ste 100
Los Angeles, CA 90048
Phone (323) 936-5140

6300 Wilshire Blvd
Ste 140
Los Angeles, CA 90048
Phone (323) 653-7743

29138 Network Pl
Chicago, IL 60673

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": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1124535406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18632 BEACH BLVD STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18632 BEACH BLVD STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482047",
            "telephone_number": "714-962-3633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6300 Wilshire Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485203",
            "country_code": "US",
            "telephone_number": "323-936-5140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAVAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "YOUSSEFZADEH",
        "authorized_official_first_name": "BAVAND",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "858-455-6800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.