Active NPI
Elham Novin Baheran, MD
- Internal Medicine Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A109275
- Practice address
- 1400 E Church St
Santa Maria, CA 93454-5906 - Phone
- (805) 739-3235
- NPI assigned
- Jun 5, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A109275 | CA | Primary |
Addresses
Primary practice location
1400 E Church St
Santa Maria, CA 93454-5906
Mailing address
1837 Tularosa Rd
Lompoc, CA 93436-9643
Phone (805) 368-8138
Other practice location 1
1837 Tularosa Rd
Lompoc, CA 93436-9643
Phone (805) 368-8138
Other practice location 2
1515 E Ocean Ave
Lompoc, CA 93436-7092
Phone (805) 737-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 N H St
Lompoc, CA 93436-3301
Phone (805) 737-8700
1400 E Church St
Santa Maria, CA 93454-5906
Phone (805) 739-3000
Hospital & facility affiliations
- Assisted Home Health
- Marian Regional Medical Center
- Lompoc Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.33 of 100
- Quality
- 29.5
- Improvement activities
- 0
- Cost
- 80.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109275 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lompoc Valley Medical Center | Internal Medicine | Current | Accepting new patients |
| Carolina Hospitalists | Past | Accepting new patients |
Locations
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700
136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- elham.novinbaheran@lvmc.eclinicaldirectplus.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lompoc Health Care District | Hospital | Corporate Director | Nov 1, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Lompoc, CA
- NPI 1194711952
Corporate Director
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.
-
- Internal Medicine Physician
- Santa Maria, CA
- NPI 1609096882
-
- Hospitalist Physician
- Lompoc, CA
- NPI 1891335717
-
- Specialist
- Conway, SC
- NPI 1134252828
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Santa Barbara, CA
- NPI 1558862946
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- General Acute Care Hospital
- Lompoc, CA
- NPI 1194711952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1245432897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1837 TULAROSA RD",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934369643",
"telephone_number": "805-368-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E CHURCH ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545906",
"telephone_number": "805-739-3235"
}
],
"practiceLocations": [
{
"address_1": "1837 Tularosa Rd",
"address_purpose": "LOCATION",
"city": "Lompoc",
"state": "CA",
"postal_code": "934369643",
"country_code": "US",
"telephone_number": "805-368-8138",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1515 E Ocean Ave",
"address_purpose": "LOCATION",
"city": "Lompoc",
"state": "CA",
"postal_code": "934367092",
"country_code": "US",
"telephone_number": "805-737-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVIN BAHERAN",
"first_name": "ELHAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A109275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.