Active NPI
Bahman Nazeri, MD
- Physical Medicine & Rehabilitation Physician
- Carmichael, CA
National Provider Identifier
1487704284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A48772
- Practice address
- 6130 Rosy LN
Carmichael, CA 95608-3971 - Phone
- (916) 944-4390
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A48772 | CA | Primary |
Addresses
Primary practice location
6130 Rosy LN
Carmichael, CA 95608-3971
Mailing address
6130 Rosy LN
Carmichael, CA 95608-3971
Phone (916) 944-4390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A487720 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48772 | CA | MD | Marriage & Family Therapist |
| A48772 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1487704284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6130 ROSY LN",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083971",
"telephone_number": "916-944-4390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6130 ROSY LN",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956083971",
"telephone_number": "916-944-4390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZERI",
"first_name": "BAHMAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A48772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A487720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.