Gavin G. Bahadur, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G83596 Issued in CA

Legal business name

GAVIN G. BAHADUR, M.D., INC.

Practice address

1807 Wilshire Blvd
Suite 203
Santa Monica, CA 90403-5652

Phone

(310) 829-0160

Fax

(310) 829-0170

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gavin G. Bahadur, M.D.

Title

President

Phone

(310) 403-5251

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1285664003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 WILSHIRE BLVD",
            "address_2": "SUITE 504",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035808",
            "telephone_number": "310-453-4965",
            "fax_number": "310-453-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 WILSHIRE BLVD",
            "address_2": "SUITE 203",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035652",
            "telephone_number": "310-829-0160",
            "fax_number": "310-829-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAVIN G. BAHADUR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "BAHADUR",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-403-5251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G835960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Lawrence Garwood, MD
• Veda Gastaldi, L.AC.
• Ruth Gatt, PHD
• Corbin Gaucher, OTR/L
• Bethany S Gauvreau, LCSW
• Joanna Gawboy, RBT
• Natassia Gaznick, MD PHD
• Melissa L. Gee, M.D.
• Daniel Lars Gehlbach, MD, MPH
• Janel Gehrke, LAC, MTOM

• Ophthalmology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.