Individual provider Active NPI

Bahman Omrani, DO

  • Internal Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1700945417
Registry record updated May 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A9465 Issued in CA
Practice address
4312 Woodman Ave Ste 101
Sherman Oaks, CA 91423-5515
Phone
(818) 988-4088
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2015

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A9465 CA
Pain Medicine Physician 208VP0000X 20A9465 CA
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A9465 CA
Internal Medicine Physician 207R00000X 20A9465 CA Primary
General Practice Physician 208D00000X 20A9465 CA
Independent Medical Examiner Physician 202C00000X 20A9465 CA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 20A9465 CA
Family Medicine Physician 207Q00000X 20A9465 CA
Legal Medicine (M.D./D.O.) Physician 209800000X 20A9465 CA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 20A9465 CA
Diagnostic Ultrasound Physician 2085U0001X 20A9465 CA

Addresses

Primary practice location

4312 Woodman Ave Ste 101
Sherman Oaks, CA 91423-5515

Mailing address

4312 Woodman Ave Ste 101
Sherman Oaks, CA 91423-5515
Phone (818) 988-4088

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
I20070810000814 CA Practitioner - Internal Medicine 5193816791 Reassigns benefits to 1 organization
Practice locations: Encino, CA; Mission Viejo, CA; Tustin, CA; Van Nuys, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4312 Woodman Ave
Suite 101
Sherman Oaks, CA 91423-5515
Phone (818) 988-4088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9465CAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bahman Omrani DO Inc Internal Medicine CurrentSince Jan 12, 2006 Accepting new patients

Locations

4312 Woodman Ave
Ste 101
Sherman Oaks, CA 91423
Phone (818) 981-2200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431216000000",
    "number": "1700945417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 WOODMAN AVE STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235515",
            "telephone_number": "818-988-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 WOODMAN AVE STE 101",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235515",
            "telephone_number": "818-988-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMRANI",
        "first_name": "BAHMAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A9465",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "20A9465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.