Organization Active NPI

Parvaneh Bahmani, M.D., Inc.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1598884843
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A 81644 Issued in CA
Legal business name
PARVANEH BAHMANI, M.D., INC.
Practice address
8631 W 3Rd St
Suite 1140E
Los Angeles, CA 90048-5901
Phone
(310) 385-9008
Fax
(310) 499-0511
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Parvaneh Bahmani, M.D.NPI 1609887678
Title
President
Phone
(310) 508-5826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A 81644 CA Primary

Addresses

Primary practice location

8631 W 3Rd St
Suite 1140E
Los Angeles, CA 90048-5901

Mailing address

PO Box 642
Pacific Palisades, CA 90272-0642
Phone (310) 508-5826

Other identifiers 1

IdentifierTypeStateIssuer
00A816440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070425000626 CA Part B Supplier - Clinic/Group Practice 6002912797 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA; Torrance, CA

National Provider Directory

National Provider Directory

Locations

9301 Wilshire Blvd
Ste 405
Beverly Hills, CA 90210
Phone (310) 274-5510

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

8631 W 3rd St
Ste 235E
Los Angeles, CA 90048
Phone (310) 358-9008

Practitioners & affiliated clinicians

Practitioners 2

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1598884843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902720642",
            "telephone_number": "310-508-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "address_2": "SUITE 1140E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-385-9008",
            "fax_number": "310-499-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVANEH BAHMANI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "BAHMANI",
        "authorized_official_first_name": "PARVANEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-508-5826",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A 81644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A816440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.