Omid Reza Bakhtar, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A86149 Issued in CA

Practice address

200 W Arbor Dr
MB#8720
San Diego, CA 92103-8720

Phone

(619) 543-5966

Fax

(619) 543-3730

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Medical College of Wisconsin, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Analytic Pathology Medical Group IncGroup PAC ID 6103714274, 20 clinicians

Pacific Rim Pathology Medical CorporationGroup PAC ID 3476449448, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
• Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

Merit-based Incentive Payment System (MIPS)

Final score

85.98 of 100Reported as group

Quality

73.46

Improvement activities

40

Cost

73.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Analytic Pathology Medical Group Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • La Mesa, CA
  • NPI 1568431088
  Medicare reassignment Care Compare group NPD
• Pacific Rim Pathology Medical Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • San Diego, CA
  • NPI 1922069087
  Medicare reassignment Care Compare group NPD
• Pacific Rim Pathology Medical Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • San Diego, CA
  • NPI 1073574075
  NPD

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

• Sharp Chula Vista Medical Center

  • General Acute Care Hospital
  • Chula Vista, CA
  • NPI 1396728630
  Care Compare affiliation
• Sharp Memorial Hospital

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  Care Compare affiliation
• Sharp Memorial Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1407839921
  Care Compare affiliation

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598821589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "MB#8720",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038720",
            "telephone_number": "619-543-5966",
            "fax_number": "619-543-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "MB#8720",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038720",
            "telephone_number": "619-543-5966",
            "fax_number": "619-543-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTAR",
        "first_name": "OMID",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A86149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Titus Luke Baker, IDC
• Travis L. Baker, DO
• Victoria Baker
• ZH'Naia Baker
• Ashley Asal Bakhadj, DPT
• Torab Bakhtiari
• Clare Bakker, MD
• Abraham Bakongo
• Neena Eileen Bakshi, OTR/L
• Gloria Bakst, LICSW

• Anatomic Pathology & Clinical Pathology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.