Aleksandr Bahmatov

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

17821 SE Arista Dr
Milwaukie, OR 97267-6036

Phone

(971) 386-8671

NPI assigned

Sep 5, 2024

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1366277642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 SE ARISTA DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 SE ARISTA DR",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676036",
            "telephone_number": "971-386-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHMATOV",
        "first_name": "ALEKSANDR",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Bachhuber Jr., DMD
• Cherry M Bachmeier, N.D.
• Sunhee Baek
• Jeannie Marie Baer, LMT
• Michael Santos Bagalso, OTRL
• Arash Alex Bahrami
• Radu Ioan Baila, CHC, MD
• Erikkson Baird
• Andrew Brantley Baker, M.D.
• Daniel Chris Baker

• Adult Care Home Facility in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Adult Care Home Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.