Active NPI
Parvaneh Bahmani, M.D., Inc.
- Nephrology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A 81644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Parvaneh Bahmani, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A816440 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Los Angeles, CA
- NPI 1609887678
-
- Medical Physician Assistant
- Los Angeles, CA
- NPI 1346994209
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.