Nooshin Bahaie-Khani, M. D., PHD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

138426 Issued in CA

Practice address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

Phone

(858) 554-3235

NPI assigned

May 22, 2013

Sex

Female

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

• Nooshin S Bahaie Former 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

Specialty

Geriatric Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sea Coast Hospice Care Inc Hospice, San Diego, CA, CCN 921793
• Balboa Nursing & Rehabilitation Center Nursing home, San Diego, CA, CCN 056105
• University Care Center Nursing home, San Diego, CA, CCN 055328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nbahaiekhani19559@scrippshlth.medalliesdirect.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sea Coast Hospice Care Inc

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1093250292

  W-2 Managing Employee

  CMS ownership

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.

• Scripps Health

  • Multi-Specialty Clinic/Center
  • La Jolla, CA
  • NPI 1275899072
  Medicare reassignment Care Compare group NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scripps Health

  • Home Health Agency
  • San Diego, CA
  • NPI 1578556114
  NPD
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD
• Scripps Health

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1881636108
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Balboa Healthcare, Inc.

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1578521274

  Nursing home

  Care Compare affiliation
• Birch Holdings, LLC

  • Skilled Nursing Facility
  • San Diego, CA
  • NPI 1871522672

  Nursing home

  Care Compare affiliation
• Sea Coast Hospice Care Inc

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1093250292
  Care Compare affiliation

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1265879803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10666 N TORREY PINES RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371092",
            "telephone_number": "858-554-6158",
            "fax_number": "858-554-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "858-554-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHAIE-KHANI",
        "first_name": "NOOSHIN",
        "credential": "M. D., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "138426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOOSHIN",
            "last_name": "BAHAIE",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Bagwell IV
• Umaru Sodor Bah
• Afshin Bahador, MD
• Artmiz Bahadori
• Neha Bahadur, M.D.
• Amelia Bahamonde, MD
• Maria Eman Bahamou, IDC
• Sandra Bahena-Colley, PH.D.
• Elisa Bahena
• Janeth Bahena

• Geriatric Medicine (Internal Medicine) Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.

Verify at the official NPI Registry.