Individual provider Active NPI

Pejman Bahari-Nejad, D.O.

  • Family Medicine Physician
  • Woodland Hills, CA
National Provider Identifier
1396885570
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7938 Issued in CA
Practice address
20829 Ventura Blvd
Woodland Hills, CA 91364-2319
Phone
(818) 887-2787
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7938 CA Primary

Addresses

Primary practice location

20829 Ventura Blvd
Woodland Hills, CA 91364-2319

Mailing address

20829 Ventura Blvd
Woodland Hills, CA 91364-2319
Phone (818) 887-2787

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000687 CA Practitioner - Family Practice 1456248996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20829 Ventura Blvd
Woodland Hills, CA 91364-2319
Phone (818) 887-2787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7938CAMDFamily Medicine Physician
7938CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pejman Bahari-Nejad, D.O., a Professional Medical Corporation Family Medicine CurrentSince Feb 14, 2012 Accepting new patients
Tarzana Medical Center LLC PastSince Feb 14, 2012 Accepting new patients

Locations

20829 Ventura Blvd
Woodland Hills, CA 91364
Phone (818) 887-2787

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pxb102pcs@m1866.primeclinicalsystems.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1396885570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20829 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642319",
            "telephone_number": "818-887-2787",
            "fax_number": "888-674-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20829 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642319",
            "telephone_number": "818-887-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHARI-NEJAD",
        "first_name": "PEJMAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2022-11-16",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.