Dr Bahareh Fazilat MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

DR BAHAREH FAZILAT MD INC

Practice address

4940 Van Nuys Blvd Ste 302
Sherman Oaks, CA 91403-1743

Phone

(310) 507-7748

Fax

(310) 598-7997

NPI assigned

Dec 9, 2025

Last updated

Dec 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bahareh Fazilat, MDNPI 1770598534

Title

President

Phone

(310) 507-7748

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bahareh Fazilat, MD

  • Obstetrics & Gynecology Physician
  • Sherman Oaks, CA
  • NPI 1770598534
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1467316091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 302",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031743",
            "telephone_number": "310-507-7748",
            "fax_number": "310-598-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 302",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031743",
            "telephone_number": "310-507-7748",
            "fax_number": "310-598-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BAHAREH FAZILAT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "FAZILAT",
        "authorized_official_first_name": "BAHAREH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-507-7748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.