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BAHRAM BAHRAMI
NPI 1225188089
Specialist in San Diego, CA

Active since January 11, 2007PECOS Enrolled
2934 INGELOW ST, SAN DIEGO, CA 92106(760) 480-4310(760) 480-4350 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bahram Bahrami NPPES

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

BAHRAM BAHRAMI (NPI 1225188089) is an individual specialist in San Diego, California, licensed in California (A-23638) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225188089
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBAHRAM BAHRAMI
Location Address2934 INGELOW STSan Diego, CA 92106-2311
Mailing Address777 Bangor StSan Diego, CA 92106-2951 · (619) 857-0063 · Fax (760) 480-4350
Phone(760) 480-4310
Fax(760) 480-4350
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateNovember 18, 2015
✔ NPI 1225188089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A-23638
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2934 INGELOW ST, San Diego, CA 92106
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Other Names 1

Professional Name (2)Dr. Bahram Bahrami M.d.

Other Identifiers 2

Medicare UPINA86685CA
Medicare ID-Type UnspecifiedA-23638CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISITING MD INC
Specialist
2934 INGELOW ST
SAN DIEGO, CA 92106
San Diego County (760) 480-4310

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 Bahram Bahrami's NPI number?

The NPI number for Bahram Bahrami is 1225188089. It was assigned to this individual provider in the NPPES registry on January 11, 2007. The provider is also known as Dr. Bahram Bahrami M.D..

Where is Bahram Bahrami located?

Bahram Bahrami practices at 2934 Ingelow St, San Diego, CA 92106. The listed phone number is (760) 480-4310.

What is Bahram Bahrami's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bahram Bahrami enrolled in Medicare?

Yes. Bahram Bahrami is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bahram Bahrami was last updated on November 18, 2015. 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.