Bahram Bahrami

Primary specialty

SpecialistTaxonomy code 174400000X

License

A-23638 Issued in CA

Practice address

2934 Ingelow St
San Diego, CA 92106-2311

Phone

(760) 480-4310

Fax

(760) 480-4350

NPI assigned

Jan 11, 2007

Last updated

Nov 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bahram Bahrami Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Visiting MD Inc

  • Specialist
  • San Diego, CA
  • NPI 1356715924
  Authorized official Same address or phone

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1225188089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANGOR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062951",
            "telephone_number": "619-857-0063",
            "fax_number": "760-480-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 INGELOW ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062311",
            "telephone_number": "760-480-4310",
            "fax_number": "760-480-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHRAMI",
        "first_name": "BAHRAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A-23638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAHRAM",
            "last_name": "BAHRAMI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shreya Bahl
• Morvy Bahmanof
• Kaveh Bahmanpour, MD
• Sammy Mark Baho, M.D
• Valeh June Bahram-Soltani, MS, MFT
• Margaret Nasrin Bahrami, R.PH
• Maria Bahramzi, MD
• Noorsaba Bahramzi, NP
• Ali Bahrani
• Sareh Bahreinifar, PHARMD

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.