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BAHAREH FAZILAT MD INC
NPI 1043746316
Obstetrics & Gynecology in Sherman Oaks, CA

Active since May 05, 2017
4940 VAN NUYS BLVD STE 302, SHERMAN OAKS, CA 91403(310) 507-7748(310) 598-7997 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 8, 2020, Dec 28, 2018 (2 updates tracked since 2018).

About Bahareh Fazilat Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAHAREH FAZILAT MD INC (NPI 1043746316) is a healthcare organization registered as an obstetrics & gynecology in Sherman Oaks, California and active in the NPI registry since May 2017. The organization lists Bahareh Fazilat, Md, as its authorized official.

NPPES Registry Identity

NPI1043746316
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBAHAREH FAZILAT MD INC
Location Address4940 VAN NUYS BLVD STE 302Sherman Oaks, CA 91403-1743
Mailing Address4940 Van Nuys Blvd Ste 302Sherman Oaks, CA 91403-1743 · (310) 507-7748 · Fax (310) 598-7997
Phone(310) 507-7748
Fax(310) 598-7997
Organization SubpartNo
Authorized OfficialBahareh FazilatMd · (786) 525-8898
Enumeration DateMay 5, 2017
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
✔ NPI 1043746316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4940 VAN NUYS BLVD STE 302, Sherman Oaks, CA 91403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bahareh Fazilat Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bahareh Fazilat MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bahareh Fazilat, MD
Obstetrics/Gynecology
NPI 1770598534
4940 VAN NUYS BLVD STE 302
Sherman Oaks, CA 91403
(310) 507-7748
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bahareh Fazilat MD Inc's NPI number?

The NPI number for Bahareh Fazilat MD Inc is 1043746316. It was assigned to this organization in the NPPES registry on May 5, 2017.

Where is Bahareh Fazilat MD Inc located?

Bahareh Fazilat MD Inc is located at 4940 Van Nuys Blvd Ste 302, Sherman Oaks, CA 91403. The listed phone number is (310) 507-7748.

What is Bahareh Fazilat MD Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bahareh Fazilat MD Inc enrolled in Medicare?

Yes. Bahareh Fazilat MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bahareh Fazilat MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Bahareh Fazilat MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bahareh Fazilat MD Inc was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.