Sunny San Diego Internal Med Ins

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A101955 Issued in CA

Legal business name

SUNNY SAN DIEGO INTERNAL MED INS

Practice address

7901 Frost St
San Diego, CA 92123

Phone

(619) 260-0999

Fax

(619) 345-4690

NPI assigned

May 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Amir Hessam Bahreman, MDNPI 1124249388

Title

Owner

Phone

(619) 260-0999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Amir Bahreman, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1124249388

  CA, Internal Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1962762773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122670",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92112",
            "telephone_number": "619-260-0999",
            "fax_number": "619-345-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 FROST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-260-0999",
            "fax_number": "619-345-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNNY SAN DIEGO INTERNAL MED INS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "BAHREMAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "HESSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-260-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Diego, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.