Individual provider Active NPI

Maryam Bahreini, M.D

  • Obstetrics & Gynecology Physician
  • Palm Desert, CA
National Provider Identifier
1164612099
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A33520 Issued in CA
Practice address
44650 Village CT
Ste 100
Palm Desert, CA 92260-3812
Phone
(760) 346-4003
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A33520 CA Primary

Addresses

Primary practice location

44650 Village CT
Ste 100
Palm Desert, CA 92260-3812

Mailing address

72780 Country Club
Ste 100
Rancho Mirage, CA 92270
Phone (760) 862-9900

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
I20080221000170 CA Practitioner - Obstetrics/GynecologyPractitioner - Internal Medicine 6901980549 Reassigns benefits to 4 organizations
Practice locations: Palm Desert, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Valley OBGYN IncGroup PAC ID 9931477700, 3 clinicians

Practice addresses (Care Compare)

72650 Fred Waring Dr
Suite 104
Palm Desert, CA 92260-5007
Phone (760) 346-1133

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33520CAMDObstetrics & Gynecology Physician
33520CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Urologic Institute of the High Desert Inc. CurrentSince Jun 1, 2023 Accepting new patients
Desert Valley OBGYN Inc CurrentSince Oct 1, 2022 Accepting new patients
Internal Medicine Specialists Inc CurrentSince Feb 2, 2010 Accepting new patients
Mirage Medical Group Obstetrics & Gynecology CurrentSince Mar 2, 2024 Accepting new patients

Locations

18400 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (951) 302-1576

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

18400 US Highway 18
Ste B
Apple Valley, CA 92307
Phone (760) 515-6260

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

44650 Village Ct
Ste 100
Palm Desert, CA 92260
Phone (760) 346-4003

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

72650 Fred Waring Dr
Ste 104
Palm Desert, CA 92260
Phone (650) 282-0757

1221 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 325-5255

72780 Country Club Dr
Ste 100
Rancho Mirage, CA 92270
Phone (760) 773-9750

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAHDDD/Endpoint/BAHDDD

Organizations & group practices 4

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 1

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1164612099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB",
            "address_2": "STE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-862-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44650 VILLAGE CT",
            "address_2": "STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603812",
            "telephone_number": "760-346-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHREINI",
        "first_name": "MARYAM",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A33520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.