Active NPI
Baharnaz Gord Jahanbeygloo, DC
- Sports Physician Chiropractor
- West Hollywood, CA
National Provider Identifier
1154046142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 36468
- Practice address
- 8354 Santa Monica Blvd
West Hollywood, CA 90069-4313 - Phone
- (858) 342-1064
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 36468 | CA | Primary |
Addresses
Primary practice location
8354 Santa Monica Blvd
West Hollywood, CA 90069-4313
Mailing address
3112 S Durango Ave Apt 4
Los Angeles, CA 90034-4317
Phone (858) 342-1064
Other practice location 1
12833 Ventura Blvd Unit 153
Studio City, CA 91604-2368
Phone (858) 342-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36468 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1154046142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3112 S DURANGO AVE APT 4",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900344317",
"telephone_number": "858-342-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8354 SANTA MONICA BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694313",
"telephone_number": "858-342-1064"
}
],
"practiceLocations": [
{
"address_1": "12833 Ventura Blvd Unit 153",
"address_purpose": "LOCATION",
"city": "Studio City",
"state": "CA",
"postal_code": "916042368",
"country_code": "US",
"telephone_number": "858-342-1064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORD JAHANBEYGLOO",
"first_name": "BAHARNAZ",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "36468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.