Active NPI
Marjan Bakhtiyari
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1962872515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27557
- Practice address
- 11911 San Vicente Blvd
280
Los Angeles, CA 90049-5086 - Phone
- (310) 498-7868
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY27557 | CA | Primary |
Addresses
Primary practice location
11911 San Vicente Blvd
280
Los Angeles, CA 90049-5086
Mailing address
11911 San Vicente Blvd
280
Los Angeles, CA 90049-5086
Phone (310) 498-7868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27557 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1962872515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11911 SAN VICENTE BLVD",
"address_2": "280",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495086",
"telephone_number": "310-498-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11911 SAN VICENTE BLVD",
"address_2": "280",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900495086",
"telephone_number": "310-498-7868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKHTIYARI",
"first_name": "MARJAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY27557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.