Bobby Nourani D.O Medical Corporation

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

BOBBY NOURANI D.O MEDICAL CORPORATION

Practice address

23101 Lake Center Dr Ste 315
Lake Forest, CA 92630-6812

Phone

(562) 546-2811

Fax

(810) 202-7549

NPI assigned

Jun 15, 2020

Organization subpart

No

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

Authorized official

Name

Shannon Miller

Title

Office Manager

Phone

(760) 604-8823

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Sean Patrick Leonard, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Oceanside, CA
  • NPI 1518458165
  Medicare reassignment NPD
• Bobby Babak Nourani, D.O.

  • Pain Medicine Physician
  • Lake Forest, CA
  • NPI 1700115961

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1427673573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 7TH PL APT 709",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908025872",
            "telephone_number": "562-546-2811",
            "fax_number": "810-202-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 LAKE CENTER DR STE 315",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306812",
            "telephone_number": "562-546-2811",
            "fax_number": "810-202-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY NOURANI D.O MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-604-8823"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bissiri, DDS
• Lauren Bittle
• Debora M Bitton, DDS
• Soleil Skyler Black, M.S., CCC-SLP
• Michele Blanscet, P.T.A.
• Mark Boling, L.ACUP
• Bonafide Home Care LLC
• Borntoebalanced.Com, Inc.
• Heather N Borsuk, IBCLC
• Brianna H Bosley

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.