Evan Jay Bachner, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

G72023 Issued in CA

Practice address

7301 Medical Center Dr
Ste 400
West Hills, CA 91307-1988

Phone

(818) 264-3344

Fax

(818) 264-3433

NPI assigned

May 24, 2005

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

Electronic endpoints 4

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

Orthopedic Surgery

Education

University of Missouri, Columbia School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 4)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: ebachner1293741@direct.uclahealth.org
• Direct secure messaging: ebachner389913@oc.providencedirect.org

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.

• Providence Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1417915760

  CA

  Medicare reassignment Care Compare group NPD
• Providence Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1760425862
  Care Compare group
• Providence Medical Institute

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1235182569
  NPD
• West Hills Hospital

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1336142157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "STE 400",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071988",
            "telephone_number": "818-264-3344",
            "fax_number": "818-264-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "STE 400",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071988",
            "telephone_number": "818-264-3344",
            "fax_number": "818-264-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHNER",
        "first_name": "EVAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G72023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebachner389913@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11550 Indian Hills Rd Ste 300",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebachner389913@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "7301 Medical Center Dr",
            "address_2": "Ste 400",
            "city": "West Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913071988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebachner389913@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1220 La Venta Dr Ste 202",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913613750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebachner389913@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18133 Ventura Blvd Ste 302",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913563645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Carolyn Ayrapetyan
• Nicole Azizian, PA
• Deborah Lynn Azoff Wallman, DDS
• Cyrus A Badii, M.D.
• Sandra I Baik, DO
• Mariam Bakhtary, MD
• Padma Bala, MD
• Laura Ballan, SLP

• All providers in West Hills, CA
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.
• 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.