Organization Active NPI

Bassam K. Bejjani.,M.D. Inc

  • Urology Physician
  • Panorama City, CA
National Provider Identifier
1508172404
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
BASSAM K. BEJJANI.,M.D. INC
Practice address
14860 Roscoe Blvd
Suite 308
Panorama City, CA 91402-4665
Phone
(818) 780-3995
Fax
(818) 780-4061
NPI assigned
Aug 30, 2010
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Dr. Bassam K Bejjani, M.D.NPI 1487664207
Title
President
Phone
(818) 780-3995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

14860 Roscoe Blvd
Suite 308
Panorama City, CA 91402-4665

Mailing address

14860 Roscoe Blvd
Suite 308
Panorama City, CA 91402-4665
Phone (818) 780-3995

National Provider Directory

National Provider Directory

Locations

14860 Roscoe Blvd
Ste 308
Panorama City, CA 91402
Phone (818) 780-3995

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1508172404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "SUITE 308",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-780-3995",
            "fax_number": "818-780-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14860 ROSCOE BLVD",
            "address_2": "SUITE 308",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024665",
            "telephone_number": "818-780-3995",
            "fax_number": "818-780-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASSAM K. BEJJANI.,M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "BEJJANI",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-780-3995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.