Fatemeh Bagheri

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

196853 Issued in CA

Practice address

20011 Ventura Blvd # 1002
Woodland Hills, CA 91364-2573

Phone

(310) 488-5680

NPI assigned

Jan 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1487306395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22246 VICTORY BLVD APT F219",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671813",
            "telephone_number": "310-488-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20011 VENTURA BLVD # 1002",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642573",
            "telephone_number": "310-488-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGHERI",
        "first_name": "FATEMEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "196853",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "196853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Lee Bacos
• In Yub Baek, MD
• Myhue Lauren Baek, MD
• Evelyn Baghdasraian, MD
• Ruben Baghdassarian, DDS
• Matt Bahar, DDS
• Pejman Bahari-Nejad, D.O.
• Ferial Baher
• Yang Bai, M.D.
• Crystal Bairian

• Diagnostic Ultrasound Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Diagnostic Ultrasound Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.