Kaveh Bagheri, MD Incorporated

Primary specialty

SpecialistTaxonomy code 174400000X

License

A52496 Issued in CA

Legal business name

KAVEH BAGHERI, MD INCORPORATED

Practice address

8860 Center Dr
Suite 240
La Mesa, CA 91942-7000

Phone

(619) 589-2535

Fax

(619) 589-8042

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Kaveh Bagheri, MDNPI 1174542252

Title

Owner

Phone

(619) 589-2535

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Kaveh Bagheri, M.D.

  • Pulmonary Disease Physician
  • La Mesa, CA
  • NPI 1174542252

  Critical Care Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Shalaine Brooke Corbilla, DNP, FNP-BC

  • Primary Care Nurse Practitioner
  • San Diego, CA
  • NPI 1134577216
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1982829800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919432250",
            "telephone_number": "619-589-2535",
            "fax_number": "619-589-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE 240",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427000",
            "telephone_number": "619-589-2535",
            "fax_number": "619-589-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVEH BAGHERI, MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "BAGHERI",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-589-2535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A52496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Richard Katzman, M.D.
• Suzanne Porter Kaulius, LCSW
• Lovepreet Kaur, PA-C
• Mandeep Kaur, NP
• Ann Gabriele Kavaney, FNP
• Susan Kaweski, M.D., F.A.C.S.
• Kazanchi Medical Corp
• Ghazia A Kazmi, DDS
• Wilfred S. Kearse Jr., M.D.
• Meesun Keel-Hammer, PHARM.D.

• Specialist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.