Carrie Bach, RN, PHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

503033 Issued in CA

Practice address

241 N Figueroa St
Suite 306
Los Angeles, CA 90012-2601

Phone

(213) 240-7944

Fax

(213) 250-8634

NPI assigned

Sep 3, 2015

Last updated

Sep 3, 2015By the provider in NPPES

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

• Carrie Selzer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Los Angeles

  dba Central Health Center

  • State or Local Public Health Clinic/Center
  • Los Angeles, CA
  • NPI 1447444294
  NPD (past)

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1407224611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 N FIGUEROA ST",
            "address_2": "SUITE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122601",
            "telephone_number": "213-240-7944",
            "fax_number": "213-250-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 N FIGUEROA ST",
            "address_2": "SUITE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122601",
            "telephone_number": "213-240-7944",
            "fax_number": "213-250-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACH",
        "first_name": "CARRIE",
        "name_prefix": "Mrs.",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "503033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "SELZER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bacchus, Moghaddam, Musngi, Shwayder Medical Corp. (Calming Goat Addiction Medicine Group)
• Soroya Montez Bacchus, M.D.
• Eddamarina Bacelis
• Jasmine Bacerdo, RN
• Andrew J Bach, D.O.
• Danthanh N Bach, RPH
• Emily Bach
• Gabriel Bach, LMFT
• Hugh Bach, M.D.
• Michael Bach

• Registered Nurse in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.