Pejman Bahari-Nejad, D.O., a Professional Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7938 Issued in CA

Legal business name

PEJMAN BAHARI-NEJAD, D.O., A PROFESSIONAL MEDICAL CORPORATION

Practice address

20829 Ventura Blvd
Woodland Hills, CA 91364-2319

Phone

(818) 887-2787

Fax

(310) 286-0144

NPI assigned

Feb 28, 2012

Organization subpart

No

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

Authorized official

Name

Pejman Bahari-Nejad, D.O.NPI 1396885570

Title

President

Phone

(818) 887-2787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pejman Bahari-Nejad, D.O.

  • Family Medicine Physician
  • Woodland Hills, CA
  • NPI 1396885570
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1780958462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20829 VENTURA BOULEVARD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642319",
            "telephone_number": "818-887-2787",
            "fax_number": "888-674-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20829 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642319",
            "telephone_number": "818-887-2787",
            "fax_number": "310-286-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEJMAN BAHARI-NEJAD, D.O., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "BAHARI-NEJAD",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-887-2787",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin J. Pearl, MD
• Alexus Marie Pedro
• Abigail Pedroza
• Elizett Anahi Pedroza
• Abraham Peinado
• Kimberly Pelle, LCSW
• Tomas Camilo Pelliccione
• Janice B Pellico, M.A.,CCC
• Keila Pena Basave
• Alexandro Pena

• Family Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.