Individual provider Active NPI

Kaveh Bagheri, M.D.

  • Pulmonary Disease Physician
  • La Mesa, CA
National Provider Identifier
1174542252
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A52496 Issued in CA
Practice address
8860 Center Drive
Suite 240
La Mesa, CA 91942-7000
Phone
(619) 589-2535
Fax
(619) 589-8042
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A52496 CA
Pulmonary Disease Physician 207RP1001X A52496 CA Primary

Addresses

Primary practice location

8860 Center Drive
Suite 240
La Mesa, CA 91942-7000

Mailing address

PO Box 2250
La Mesa, CA 91943-2250

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
I20100223000215 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8527953785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Kaveh Bagheri, MD IncorporatedGroup PAC ID 8729973086, 2 clinicians

Practice addresses (Care Compare)

5007 N 10TH St
Ridgefield, WA 98642-5347

8860 Ctr Dr
Suite 240
La Mesa, CA 91942-7000
Phone (619) 589-2535

P O Box
Suite 2250
La Mesa, CA 91943-2250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 18, 2014 Accepting new patients
Kaveh Bagheri, MD Incorporated Critical Care Medicine CurrentSince May 1, 1996 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients

Locations

8860 Center Dr
Ste 240
La Mesa, CA 91942
Phone (619) 589-2535

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Organizations & group practices 3

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 3

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1174542252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DRIVE",
            "address_2": "SUITE 240",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427000",
            "telephone_number": "619-589-2535",
            "fax_number": "619-589-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERI",
        "first_name": "KAVEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A52496",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A52496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.