Sean S. Bahri, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A51230 Issued in CA

Legal business name

SEAN S. BAHRI, M.D., INC.

Practice address

1401 Avocado Ave
Suite 903
Newport Beach, CA 92660-7771

Phone

(949) 631-7577

Fax

(949) 631-5104

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sean Shidfar Bahri, M.D.NPI 1821273137

Title

President

Phone

(949) 631-7577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sean S Bahri, MD

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1821273137
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1407993975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "SUITE 903",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607771",
            "telephone_number": "949-631-7577",
            "fax_number": "949-631-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "SUITE 903",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607771",
            "telephone_number": "949-631-7577",
            "fax_number": "949-631-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN S. BAHRI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "BAHRI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "SHIDFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-631-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A51230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A512300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.