BAHAREH GORDON MD
NPI 1699032540
Pediatrics in Sylmar, CA
About Bahareh Gordon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAHAREH GORDON MD (NPI 1699032540) is an individual pediatrics provider in Sylmar, California, licensed in California (A130799) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bahareh Gordon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bahareh Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sylmar, CA 91342
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Los Angeles
- 1,939 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SYLMAR, CA 91342
SYLMAR, CA 91342
SYLMAR, CA 91342
SYLMAR, CA 91342
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 Bahareh Gordon's NPI number?
The NPI number for Bahareh Gordon is 1699032540. It was assigned to this individual provider in the NPPES registry on April 17, 2012.
Where is Bahareh Gordon located?
Bahareh Gordon practices at 14445 Olive View Drive Cottage S, Sylmar, CA 91342. The listed phone number is (747) 210-3233.
What is Bahareh Gordon's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Bahareh Gordon enrolled in Medicare?
Yes. Bahareh Gordon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bahareh Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bahareh Gordon reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Sylmar, CA). The 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 Bahareh Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bahareh Gordon was last updated on December 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Bahareh Gordon, MD · NPI 1699032540
Pediatrics physician in Sylmar, California. Individual provider, active in the CMS NPPES registry since April 17, 2012.
## Identity
- **NPI:** 1699032540 (Entity type: Individual)
- **Enumerated:** April 17, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A130799 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14445 OLIVE VIEW DRIVE, COTTAGE S, Sylmar, CA 91342
- **Phone:** (747) 210-3233
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Los Angeles Auditor Controller (NPI 1134159320, Sylmar, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1699032540) · Data from the CMS NPPES public registry.