Shadi Bahadori Rad

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1115 Sullivan
Irvine, CA 92614-4249

Phone

(310) 351-9504

NPI assigned

Jul 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Marriage & Family Therapy With Asal Larry and Associates Inc

  • Marriage & Family Therapist
  • Newport Beach, CA
  • NPI 1346986528
  Medicare reassignment NPD

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1689247819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SULLIVAN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144249",
            "telephone_number": "310-351-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 SULLIVAN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144249",
            "telephone_number": "310-351-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHADORI RAD",
        "first_name": "SHADI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanna Baghai, DDS
• Adrena Gharibjanians Baghashvili
• Nasim Baghdadi
• Elizabeth Bagnol, MSW, LCSW, PPSC. RDT
• Romina Francesca Bagsic, FNP-C
• Emily Jasmine Bahena
• Musa Bahia
• Grace Bahk
• Shar Shahrzad Bahri Eshraghi, PHARM.D
• Ghazal N Bahri, M.D.

• Counselor in Irvine, CA
• Providers in Irvine, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.

Verify at the official NPI Registry.