NPIMap

Individual provider Active NPI

Soubhi Bahna, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Torrance, CA
National Provider Identifier
1497069751
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C169946 Issued in CA
Practice address
2841 Lomita Blvd Ste 320
Torrance, CA 90505-5116
Phone
(310) 257-7298
Fax
(310) 598-3119
NPI assigned
Jul 28, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Torrance Health Association Inc 298 clinicians

Practice addresses (Care Compare)

2841 Lomita Blvd
Suite 320
Torrance, CA 90505-5116
Phone (310) 517-8952

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605002509 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 4183865629 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C169946CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Jun 1, 2023 Accepting new patients
Torrance Memorial Medical Center PastSince Jun 1, 2023 Accepting new patients
Missouri Baptist Hospital of Sullivan Past Accepting new patients

Locations

2110 E El Segundo Blvd
Ste 230
El Segundo, CA 90245
Phone (310) 257-5741

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

2841 Lomita Blvd
Ste 320
Torrance, CA 90505
Phone (310) 257-7298

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sbahna81468@cityofhope.direct-ci.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME146411 FL
Hospitalist Physician 208M00000X 2013018546 MO
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C169946 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2841 Lomita Blvd Ste 320
Torrance, CA 90505-5116

Mailing address

2841 Lomita Blvd Ste 320
Torrance, CA 90505-5116
Phone (310) 257-7298

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2023.

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1497069751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 LOMITA BLVD STE 320",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055116",
            "telephone_number": "310-257-7298",
            "fax_number": "310-598-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 LOMITA BLVD STE 320",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055116",
            "telephone_number": "310-257-7298",
            "fax_number": "310-598-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHNA",
        "first_name": "SOUBHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-28",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME146411",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2013018546",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C169946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.