Active NPI
Anjam Bahl, M.D.
- Psychiatry Physician
- Long Beach, CA
National Provider Identifier
1609168343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A122035
- Practice address
- 4500 E Pacific Coast Hwy Ste 320
Long Beach, CA 90804-3271 - Phone
- (925) 282-1778
- NPI assigned
- May 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A122035 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A122035 | CA |
Addresses
Primary practice location
4500 E Pacific Coast Hwy Ste 320
Long Beach, CA 90804-3271
Mailing address
4500 E Pacific Coast Hwy Ste 320
Long Beach, CA 90804-3271
Other practice location 1
100 Howe Ave Ste 170N
Sacramento, CA 95825-8241
Phone (925) 282-1778
Other practice location 2
6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Phone (925) 282-1778
Other practice location 3
3545 Long Beach Blvd
Long Beach, CA 90807-3941
Phone (562) 490-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A122035 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childnet Youth and Family Services Inc | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.anjambahl@148377.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Long Beach, CA
- NPI 1760519219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1609168343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 E PACIFIC COAST HWY STE 320",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 E PACIFIC COAST HWY STE 320",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043271",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "100 Howe Ave Ste 170N",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958258241",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6200 Wilshire Blvd Ste 1410",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900485815",
"country_code": "US",
"telephone_number": "925-282-1778",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3545 Long Beach Blvd",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908073941",
"country_code": "US",
"telephone_number": "562-490-7600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAHL",
"first_name": "ANJAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A122035",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A122035",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.