Individual provider Active NPI

Bahar Sedarati-Oliaie, M.D.

  • Specialist
  • Laguna Woods, CA
National Provider Identifier
1659543072
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A100909 Issued in CA
Practice address
24331 El Toro Rd
Suite 360
Laguna Woods, CA 92637-2752
Phone
(310) 980-1781
Fax
(949) 600-8822
NPI assigned
Mar 25, 2008
Last updated
Apr 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A100909 CA Primary

Addresses

Primary practice location

24331 El Toro Rd
Suite 360
Laguna Woods, CA 92637-2752

Mailing address

24331 El Toro Rd
Suite 360
Laguna Woods, CA 92637-2752
Phone (310) 980-1781

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100618000697 CA Practitioner - Internal Medicine 8729118658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100909CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bahar Medical Group Inc Specialist CurrentSince May 26, 2010 Accepting new patients

Locations

24331 El Toro Rd
Ste 360
Laguna Woods, CA 92637
Phone (949) 386-8440

2507 Eastbluff Dr
Newport Beach, CA 92660
Phone (949) 200-1655

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1659543072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "address_2": "SUITE 360",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372752",
            "telephone_number": "310-980-1781",
            "fax_number": "949-600-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "address_2": "SUITE 360",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372752",
            "telephone_number": "310-980-1781",
            "fax_number": "949-600-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDARATI-OLIAIE",
        "first_name": "BAHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A100909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

Verify at the official NPI Registry.