NPIMap

Individual provider Active NPI

Bahar Golshahi, DPM

  • Podiatrist
  • Mission Viejo, CA
National Provider Identifier
1700267960
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5490 Issued in CA
Practice address
26800 Crown Valley Parkway
Ste 420
Missionviejo, CA 92691
Phone
(949) 272-0007
Fax
(949) 272-0006
NPI assigned
Jun 13, 2015
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5490 CA Primary

Addresses

Primary practice location

26800 Crown Valley Parkway
Ste 420
Missionviejo, CA 92691

Mailing address

32565 B Golden Lantern Street
PMB 341
Dana Point, CA 92629
Phone (949) 272-0007

Other practice location 1

3700 South St
Lakewood, CA 90712-1419
Phone (562) 531-2550

Other practice location 2

23141 Moulton Pkwy Ste 109
Laguna Hills, CA 92653-1241
Phone (949) 272-0007

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
I20181010003808 CA Practitioner - Podiatry 2062764541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 109
Laguna Woods, CA 92653-1241
Phone (919) 272-0007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
84.36
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue152
Removal of skin lesions38
Removal of nail tissue627
Removal or shaving of skin growth702
Skin biopsy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5490CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Hospital Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Marina Podiatry Associates Inc Podiatrist Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bahar.golshahi.1@20181.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1700267960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32565 B GOLDEN LANTERN STREET",
            "address_2": "PMB 341",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "92629",
            "telephone_number": "949-272-0007",
            "fax_number": "949-272-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PARKWAY",
            "address_2": "STE 420",
            "city": "MISSIONVIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-272-0007",
            "fax_number": "949-272-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 South St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907121419",
            "country_code": "US",
            "telephone_number": "562-531-2550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23141 Moulton Pkwy Ste 109",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926531241",
            "country_code": "US",
            "telephone_number": "949-272-0007",
            "fax_number": "949-272-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLSHAHI",
        "first_name": "BAHAR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.