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MITRA BLAIR BAHAEE MD
NPI 1407417736
Family Medicine in La Jolla, CA

Active since June 26, 2019PECOS EnrolledAccepts Medicare Assignment
9850 GENESEE AVE STE 320, LA JOLLA, CA 92037(858) 554-1212(858) 795-1195 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Sep 21, 2022 (2 updates tracked since 2022).

About Mitra Blair Bahaee Md NPPES

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

MITRA BLAIR BAHAEE MD (NPI 1407417736) is an individual family medicine provider in La Jolla, California, licensed in California (A178502) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2019).

NPPES Registry Identity

NPI1407417736
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMITRA BLAIR BAHAEECredential: MD
Location Address9850 GENESEE AVE STE 320La Jolla, CA 92037-1208
Mailing Address9850 Genesee Ave Ste 320La Jolla, CA 92037-1208 · (858) 554-1212 · Fax (858) 795-1195
Phone(858) 554-1212
Fax(858) 795-1195
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2019
Enumeration DateJune 26, 2019
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
✔ NPI 1407417736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A178502✔ Licensed in MI · 4351044605
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9850 GENESEE AVE STE 320, La Jolla, CA 92037
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitra Blair Bahaee Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284960790
PECOS Enrollment IDI20220926001847
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

VANIA ARROYO HOOD
Physician Assistant
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
San Diego County (858) 554-1212
CHLOE MARIE GUILAN TRUSTY PA-C
Physician Assistant
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
San Diego County (858) 554-1212
SABRINA PRIJATEL
Physician Assistant
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
San Diego County (858) 554-1212
MRS. EMILY CLARK ENCE PA-C
Physician Assistant
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
San Diego County (858) 554-1212
KARINA ROSE LOPEZ FNP-C
Nurse Practitioner (Family)
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
San Diego County (858) 554-1212
DR. SEYMOUR MYERS M.D.
Family Medicine
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
San Diego County (858) 554-1212
CLAIRE ANSPACH RD
Dietitian, Registered
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
San Diego County (858) 554-1212
DR. NICHOLAS CANELO MD
Family Medicine
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
San Diego County (858) 554-1212

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 Mitra Bahaee's NPI number?

The NPI number for Mitra Bahaee is 1407417736. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Mitra Bahaee located?

Mitra Bahaee practices at 9850 Genesee Ave Ste 320, La Jolla, CA 92037. The listed phone number is (858) 554-1212.

What is Mitra Bahaee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mitra Bahaee enrolled in Medicare?

Yes. Mitra Bahaee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mitra Bahaee was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.