Reza Bashtar MD, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A119388 Issued in CA

Legal business name

REZA BASHTAR MD, INC

Practice address

1 Hoag Dr
Newport Beach, CA 92663-4162

Phone

(858) 208-6550

Fax

(714) 685-1567

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Reza Bashtar, MDNPI 1285868729

Title

President/Owner

Phone

(858) 208-6550

Specialties & licenses 1

Addresses

Practitioners 1

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

• Reza Bashtar

  • Hospitalist Physician
  • Irvine, CA
  • NPI 1285868729

  Internal Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1831569987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13204 TELMO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOAG DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634162",
            "telephone_number": "858-208-6550",
            "fax_number": "714-685-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA BASHTAR MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "BASHTAR",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "858-208-6550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A119388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecil S. Reyes, PA-C
• Lisseth Reyes, AMFT
• Macy Huynh Reyes, PSB-94029530
• Teresa Adriana Reyes
• Karla J Reynel Naquira
• Sarah Rezaee, PMHNP-BC
• James Warren Reznick, DO
• Alena Reznik, M.D.
• Jacob Reznik, M.D.
• Rodd Rezvani, MD

• Internal Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.