Individual provider Active NPI

Babak Robert Bamshad, M.D.

  • Pediatric Urology Physician
  • Los Angeles, CA
National Provider Identifier
1437282936
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
G81239 Issued in CA
Practice address
8635 W 3Rd St
No. 765W
Los Angeles, CA 90048-6101
Phone
(310) 854-0777
Fax
(310) 289-5198
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Urology Physician 2088P0231X G81239 CA Primary

Addresses

Primary practice location

8635 W 3Rd St
No. 765W
Los Angeles, CA 90048-6101

Mailing address

8635 W 3Rd St
No. 765W
Los Angeles, CA 90048-6101
Phone (310) 854-0777

Other identifiers 1

IdentifierTypeStateIssuer
00G812391MedicaidCA

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
I20041008000814 CA Practitioner - Urology 9032178561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8635 W 3Rd St
Suite 765W
Los Angeles, CA 90048-6108

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81239CAMDClinical Social Worker
G81239CAMDPediatric Urology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B. Robert Bamshad, M.D., Inc. CurrentSince Aug 15, 1999 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Ilya M Rachman MD Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Anil Mohin MD, Facc a Professional Medical Corporation Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
East Los Angeles Clinica Medica General Medical Center Inc Past Accepting new patients

Locations

8635 W 3rd St
Ste 765W
Los Angeles, CA 90048
Phone (310) 657-7966

8635 W 3rd St
Ste 765
West Hollywood, CA 90048
Phone (310) 854-7717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1437282936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "NO. 765W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-854-0777",
            "fax_number": "310-289-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "NO. 765W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-854-0777",
            "fax_number": "310-289-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMSHAD",
        "first_name": "BABAK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "CA",
            "license": "G81239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G812391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.