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DR BAHAREH FAZILAT MD INC
NPI 1467316091
Obstetrics & Gynecology in Sherman Oaks, CA

Active since December 09, 2025
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: December 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr Bahareh Fazilat Md Inc NPPES

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

DR BAHAREH FAZILAT MD INC (NPI 1467316091) is a healthcare organization registered as an obstetrics & gynecology in Sherman Oaks, California and active in the NPI registry since December 2025. The organization lists Bahareh Fazilat, President, as its authorized official.

NPPES Registry Identity

NPI1467316091
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameDR BAHAREH 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 FazilatPresident · (310) 507-7748
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1467316091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
4940 VAN NUYS BLVD STE 302, Sherman Oaks, CA 91403
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Dr 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 Dr 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 Dr Bahareh Fazilat MD Inc's NPI number?

The NPI number for Dr Bahareh Fazilat MD Inc is 1467316091. It was assigned to this organization in the NPPES registry on December 9, 2025.

Where is Dr Bahareh Fazilat MD Inc located?

Dr 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 Dr Bahareh Fazilat MD Inc's specialty?

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

Is Dr Bahareh Fazilat MD Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Dr Bahareh Fazilat MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Dr 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 Dr Bahareh Fazilat MD Inc was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.