Active NPI
Bahar Mona Solasi, RD
- Registered Dietitian
- Encino, CA
National Provider Identifier
1780130633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 17208 Luverne PL
Encino, CA 91316-3932 - Phone
- (310) 880-9633
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
17208 Luverne PL
Encino, CA 91316-3932
Mailing address
17208 Luverne PL
Encino, CA 91316-3932
Phone (310) 880-9633
Other names 1
- Baharak Solasi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161118001383 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 8921387721 | Practice locations: Encino, CA; Sherman Oaks, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
17208 Luverne PL
Encino, CA 91316-3932
Phone (310) 880-9633
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concierge Nutrition Inc | Dietitian, Registered | Current | Accepting new patients |
Locations
16133 Ventura Blvd
Ste 700
Encino, CA 91436
Phone (818) 518-9709
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": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1780130633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17208 LUVERNE PL",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163932",
"telephone_number": "310-880-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17208 LUVERNE PL",
"city": "ENCINO",
"state": "CA",
"postal_code": "913163932",
"telephone_number": "310-880-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLASI",
"first_name": "BAHAR",
"middle_name": "MONA",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BAHARAK",
"last_name": "SOLASI",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.