Bahareh Golbahar, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT11882 Issued in CA

Practice address

1059 Gayley Ave
Los Angeles, CA 90024-3401

Phone

(310) 208-3031

Fax

(310) 208-6831

NPI assigned

Jul 25, 2006

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: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jon D Vogel OD a Professional CorpGroup PAC ID 5496833568, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Jon D. Vogel, O.D. a Professional Corp

  dba Village Eyes Optometry

  • Optometrist
  • Los Angeles, CA
  • NPI 1831370329
  Medicare reassignment Care Compare group NPD
• Jules Stein Eye Institute Medical Group

  dba Doheny Eye Center UCLA - Orange County

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1770938292
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1730101833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15519 ADAGIO CT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771501",
            "telephone_number": "310-440-3416",
            "fax_number": "310-208-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 GAYLEY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243401",
            "telephone_number": "310-208-3031",
            "fax_number": "310-208-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBAHAR",
        "first_name": "BAHAREH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siavash Golaby Sanajany, D.M.D.
• Sukesha Golacinski
• Elana Michelle Golan, LCSW
• Karen Ann Goland, PSY.D
• Maurice Calvin Golant, PHD
• Yasaman Golbari, PHARMD
• Kimia Golcheh, PA
• David Golchian, D.O.
• Keivan Golchini, MD
• Gold Castle Inc. (Easy Life Home Health Care CTR)

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.