NPIMap

Individual provider Active NPI

Parvaneh Bahmani, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1609887678
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A81644 Issued in CA
Practice address
8631 W 3Rd St
Suite 1140E
Los Angeles, CA 90048-5901
Phone
(310) 385-9008
Fax
(310) 499-0511
NPI assigned
Aug 11, 2006
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A81644 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
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000521 CA Practitioner - NephrologyPractitioner - Internal Medicine 3870526213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
National University of Arts and Sciences, Medical Department, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8631 W 3Rd St
Los Angeles, CA 90048-5901
Phone (310) 358-9008

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.95 of 100Reported as individual
Quality
50.08
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A81644CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parvaneh Bahmani, M.D., Inc. Nephrology CurrentSince Apr 2, 2007 Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients
THC - Orange County LLC Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8631 W 3rd St
#1135E
Los Angeles, CA 90048
Phone (310) 659-8760

8631 W 3rd St
Ste 1140E
Los Angeles, CA 90048
Phone (310) 854-0909

8635 W 3rd St
Ste 350W
Los Angeles, CA 90048
Phone (310) 358-9008

4201 Torrance Blvd
Ste 790
Torrance, CA 90503
Phone (310) 370-4558

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pbahmani102289@direct.cshs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1609887678",
    "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": {
        "last_name": "BAHMANI",
        "first_name": "PARVANEH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A81644",
            "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

Verify at the official NPI Registry.