Bahareh B Khavarian MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A79841 Issued in CA

Legal business name

BAHAREH B KHAVARIAN MD INC

Practice address

27725 Santa Margarita Pkwy
Suite 108
Mission Viejo, CA 92691-6704

Phone

(949) 916-8770

Fax

(949) 916-8769

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bahareh Bahadori Khavarian, MDNPI 1780620328

Title

President

Phone

(949) 916-8770

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.

• Bahareh Bahadori Khavarian, M.D.

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1780620328
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962573311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY",
            "address_2": "SUITE 108",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916704",
            "telephone_number": "949-916-8770",
            "fax_number": "949-916-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27725 SANTA MARGARITA PKWY",
            "address_2": "SUITE 108",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916704",
            "telephone_number": "949-916-8770",
            "fax_number": "949-916-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAHAREH B KHAVARIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAVARIAN",
        "authorized_official_first_name": "BAHAREH",
        "authorized_official_middle_name": "BAHADORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-916-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanjun Bae, M.D.
• Ria Melody Laron Baggao, PTA
• Raha Baghbanian, DDS
• Leon Joseph Baginski, MD
• Darren Bagwell, MA, LMFT
• Catherine Suzanne Bailey, PH.D.
• Thomas Sample Bailey Jr., MD
• Amber Baker, PH.D.
• Robert Alan Baker
• Balanced Health and Wellness, a Nursing Corporation

• Internal Medicine Physician in Mission Viejo, CA
• Providers in Mission Viejo, 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 Aug 22, 2020; 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.