DR. SOROYA MONTEZ BACCHUS M.D.
NPI 1407953029
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since September 17, 2006Opted out of Medicare · through Aug 25, 2026
6801 PARK TER STE 530B, LOS ANGELES, CA 90045(310) 895-2541(310) 895-2895 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2020, Nov 23, 2015 (2 updates tracked since 2015).

About Dr. Soroya Montez Bacchus M.d. NPPES

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

DR. SOROYA MONTEZ BACCHUS M.D. (NPI 1407953029) is an individual psychiatry provider in Los Angeles, California, licensed in California (G74246) and active in the NPI registry since September 2006. She has opted out of Medicare through August 25, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407953029
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SOROYA MONTEZ BACCHUSCredential: M.D.
Location Address6801 PARK TER STE 530BLos Angeles, CA 90045-1543
Mailing Address6801 Park Ter Ste 530bLos Angeles, CA 90045-1543 · (310) 895-2541 · Fax (310) 895-2895
Fax(310) 895-2895
Sole ProprietorYes
Enumeration DateSeptember 17, 2006
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
NPI 1407953029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · G74246
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
6801 PARK TER STE 530B, Los Angeles, CA 90045

Other Identifiers 1

OtherG74246CA · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Soroya Montez Bacchus M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 25, 2016 through August 25, 2026.

Opt-Out Effective DateAugust 25, 2016
Opt-Out In Effect ThroughAugust 25, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90045 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 2

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

Psychiatry & Neurology (Psychiatry)
6801 PARK TER STE 530B
LOS ANGELES, CA 90045
Psychiatry & Neurology (Psychiatry)
6801 PARK TER STE 530B
LOS ANGELES, CA 90045

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 Soroya Bacchus's NPI number?

The NPI number for Soroya Bacchus is 1407953029. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Soroya Bacchus located?

Soroya Bacchus practices at 6801 Park Ter Ste 530B, Los Angeles, CA 90045. The listed phone number is (310) 895-2541.

What is Soroya Bacchus's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Soroya Bacchus enrolled in Medicare?

No. Soroya Bacchus has opted out of Medicare through August 25, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Soroya Bacchus was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.