Individual provider Active NPI

Bahnam Thomas, D.O

  • Physical Medicine & Rehabilitation Physician
  • Murrieta, CA
National Provider Identifier
1841298718
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A8914 Issued in CA
Practice address
28078 Baxter Rd Ste 128
Murrieta, CA 92563-1403
Phone
(951) 894-5000
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A8914 CA Primary

Addresses

Primary practice location

28078 Baxter Rd Ste 128
Murrieta, CA 92563-1403

Mailing address

27475 Ynez Rd Ste 295
Temecula, CA 92591-4612
Phone (951) 894-5000

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105001194 CA Practitioner - Physical Medicine and Rehabilitation 9638364466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Occupational Medical Group IncGroup PAC ID 4183764574, 17 clinicians
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

10951 Sorrento Valley Rd
Suite G
San Diego, CA 92121-1603
Phone (855) 364-6281

12495 Valley View St
Garden Grove, CA 92845-2032
Phone (714) 841-7804

1550 Pepper Dr
Suite F
El Centro, CA 92243-4166
Phone (858) 467-0610

1801 S la Cienega Blvd
Suite 203
Los Angeles, CA 90035-4659
Phone (949) 955-0022

1805 E Dyer Rd
Suite 110
Santa Ana, CA 92705-5742
Phone (949) 955-0022

296 H St
Suite 203
Chula Vista, CA 91910-4779
Phone (855) 364-6281

40663 Murrieta Hot Springs Rd
Suite C1
Murrieta, CA 92562-9015
Phone (951) 200-6791

5830 Oberlin Dr
Suite 102
San Diego, CA 92121-3753
Phone (855) 364-6281

6700 Indiana Ave
Suite 145
Riverside, CA 92506-4225
Phone (951) 637-2700

760 W Acadia Ave
Suite 113a
Hemet, CA 92543-4081
Phone (714) 376-9896

7774 Cherry Ave
Fontana, CA 92336-4014
Phone (909) 355-1296

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8914CAMDSpecialist
20A8914CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Occupational Medical Group, Inc. Physical Medicine & Rehabilitation CurrentSince Jan 8, 2011 Accepting new patients
United Medical Doctors CurrentSince Jan 8, 2024 Accepting new patients
United Medical Doctors CurrentSince Jan 8, 2024 Accepting new patients
Global Anesthesia Services Inc a Professional Nursing Corporation Past Accepting new patients
Compre Hensive Primary Care Medical Associates, Inc PastSince Feb 1, 2004 Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Locations

310 Third Ave
Ste B5
Chula Vista, CA 91910
Phone (310) 926-4922

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

833 Broadway
Ste 101
El Cajon, CA 92021
Phone (619) 442-3444

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

7798 Cherry Ave
Fontana, CA 92336
Phone (909) 355-1296

7774 Cherry Ave
Fontana, CA 92336
Phone (909) 355-1296

12495 Valley View St
Garden Grove, CA 92845
Phone (714) 897-9355

860 E La Habra Blvd
Ste 120
La Habra, CA 90631

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

675 N Park Ave
#P
Pomona, CA 91768

8520 Archibald Ave
Ste B
Rancho Cucamonga, CA 91730
Phone (909) 481-3909

6700 Indiana Ave
Ste 145
Riverside, CA 92506
Phone (626) 979-2002

5830 Oberlin Dr
Ste 102
San Diego, CA 92121
Phone (619) 297-9500

10951 Sorrento Valley Rd
Ste G
San Diego, CA 92121

1805 E Dyer Rd
Ste 110
Santa Ana, CA 92705
Phone (714) 612-0576

1809 E Dyer Rd
Ste 313
Santa Ana, CA 92705
Phone (949) 975-1900

1809 E Dyer Rd
Ste 311
Santa Ana, CA 92705
Phone (949) 863-0022

11627 Telegraph Rd
Ste 105
Santa Fe Springs, CA 90670
Phone (562) 948-4004

380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086

1321 W Garvey Ave N
West Covina, CA 91790
Phone (626) 337-6335

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bahnam.thomas.1@9170.direct.athenahealth.com

Organizations & group practices 6

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1841298718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 YNEZ RD STE 295",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914612",
            "telephone_number": "951-894-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 128",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631403",
            "telephone_number": "951-894-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BAHNAM",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A8914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.