Active NPI
Ron Jonathan Bahar, MD
- Pediatric Gastroenterology Physician
- Encino, CA
National Provider Identifier
1750479002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- A52195
- Practice address
- 5363 Balboa Blvd
Suite 540
Encino, CA 91316-2805 - Phone
- (818) 905-6600
- Fax
- (818) 905-6610
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | A52195 | CA | Primary |
Addresses
Primary practice location
5363 Balboa Blvd
Suite 540
Encino, CA 91316-2805
Mailing address
5363 Balboa Blvd
Suite 540
Encino, CA 91316-2805
Phone (818) 905-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ron Bahar, MD, a Medical Corporation | Pediatric Gastroenterology | Current | Accepting new patients |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
5363 Balboa Blvd
Ste 540
Encino, CA 91316
Phone (818) 905-6600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Pediatric Gastroenterology Physician
- Encino, CA
- NPI 1023134210
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750479002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"address_2": "SUITE 540",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162805",
"telephone_number": "818-905-6600",
"fax_number": "818-905-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5363 BALBOA BLVD",
"address_2": "SUITE 540",
"city": "ENCINO",
"state": "CA",
"postal_code": "913162805",
"telephone_number": "818-905-6600",
"fax_number": "818-905-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAHAR",
"first_name": "RON",
"middle_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "A52195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.