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POUYA BAHRAMI DO, INC
NPI 1053506402
Internal Medicine in Los Angeles, CA

Active since September 10, 2007CLIA 05D1056062 · Waiver
1245 WILSHIRE BLVD, SUITE 611, LOS ANGELES, CA 90017(213) 481-2200 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pouya Bahrami Do, Inc NPPES

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

POUYA BAHRAMI DO, INC (NPI 1053506402) is a healthcare organization registered as an internal medicine in Los Angeles, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through August 24, 2027 and lists Pouya Bahrami, President, as its authorized official.

NPPES Registry Identity

NPI1053506402
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePOUYA BAHRAMI DO, INC
Location Address1245 WILSHIRE BLVD, SUITE 611Los Angeles, CA 90017-4810
Mailing Address1414 S Grand Ave, Suite 100Los Angeles, CA 90015-3067 · (213) 481-2200 · Fax (213) 481-7023
Phone(213) 481-2200
Organization SubpartNo
Authorized OfficialPouya BahramiPresident · (213) 481-2200
Enumeration DateSeptember 10, 2007
Last NPPES UpdateAugust 5, 2016
✔ NPI 1053506402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1245 WILSHIRE BLVD, Los Angeles, CA 90017
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Other Identifiers 1

Medicare PIN20A7262ACA

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 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)

Pouya Bahrami Do, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pouya Bahrami Do, Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Pouya Bahrami, DO
Internal Medicine
NPI 1871526301
1414 S GRAND AVE SUITE 100
Los Angeles, CA 90015
(213) 481-2200
✔ PECOS✔ Accepts Medicare1.2 mi
Angelina Bucu, NP
Nurse Practitioner
NPI 1730522764
8480 S EASTERN AVE STE F
Las Vegas, NV 89123
(702) 830-5325
✔ PECOS225 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1056062

Dr Pouya Bahrami Do, Inc · Los Angeles, CA
Active · expires Aug 24, 2027
CLIA Number05D1056062
Laboratory TypePhysician Office
Certificate Effective DateAugust 25, 2025
Certificate Expiration DateAugust 24, 2027
Laboratory DirectorPouya Bahrami Do
Laboratory Phone(213) 481-2200
Laboratory LocationDr Pouya Bahrami Do, Inc1414 S Grand Ave Ste 100, Los Angeles, CA 90015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pouya Bahrami Do, Inc's NPI number?

The NPI number for Pouya Bahrami Do, Inc is 1053506402. It was assigned to this organization in the NPPES registry on September 10, 2007.

Where is Pouya Bahrami Do, Inc located?

Pouya Bahrami Do, Inc is located at 1245 Wilshire Blvd Suite 611, Los Angeles, CA 90017. The listed phone number is (213) 481-2200.

What is Pouya Bahrami Do, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pouya Bahrami Do, Inc enrolled in Medicare?

Yes. Pouya Bahrami Do, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pouya Bahrami Do, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pouya Bahrami Do, Inc, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pouya Bahrami Do, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1056062) is associated with this NPI, valid through August 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pouya Bahrami Do, Inc was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.