GAVIN BAHADUR (NPI# 1174553994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174553994 |
| Entity Type | Individual |
| Full Name | GAVIN BAHADUR |
| Other Name | DR. GAGAN BAHADUR |
| Credential | M.D. |
| Practice Address |
1807 Wilshire Blvd Suite 203 Santa Monica CA 90403-5652 |
| Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5655 |
| Practice Telephone | 3108290160 |
| Practice Fax Number | 3108290170 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G83596 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G835960 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Stein Plz, Los Angeles, CA 900955652 | 3108255000 | 3108250441 |
| Street Address |
1807 WILSHIRE BLVD SUITE 203 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073966495 | Shaun Bornstein | Acupuncturist | 1807 Wilshire Blvd, 200, Santa Monica, CA 90403-5652 | 2016-07-20 |
| 1033563457 | Emperor's College of Traditional Oriental Medicine | Clinic/Center | 1807 Wilshire Blvd, Santa Monica, CA 90403-5652 | 2016-04-21 |
| 1851790661 | Columbia Dental Specialty Group | Dentist | 1807 Wilshire Blvd, Ste A, Santa Monica, CA 90403-5652 | 2014-08-18 |
| 1851715346 | Jules Stein Eye Center-santa Monica | Ophthalmology | 1807 Wilshire Blvd, Suite 203, Santa Monica, CA 90403-5652 | 2014-02-05 |
| 1780011189 | Columbia Dental Group | Dentist | 1807 Wilshire Blvd, Suite A, Santa Monica, CA 90403-5652 | 2013-09-30 |
| 1780962365 | Bliss Ob/gyn, Inc. | Obstetrics & Gynecology | 1807 Wilshire Blvd, Suite C, Santa Monica, CA 90403-5652 | 2011-07-29 |
| 1225349988 | Santa Monica Bay Physicians | Optometrist | 1807 Wilshire Blvd, Suite 203, Santa Monica, CA 90403-5652 | 2010-06-28 |
| 1336460864 | Carol E Davis, M.d. Medical Clinic of Ophthalmology, Inc. | Ophthalmology | 1807 Wilshire Blvd, Ste. 203, Santa Monica, CA 90403-5652 | 2010-06-18 |
| 1215168000 | Romy Schwartz | Acupuncturist | 1807 Wilshire Blvd, Santa Monica, CA 90403-5652 | 2009-07-28 |
| 1487804308 | Rand Mcclain | Family Medicine | 1807 Wilshire Blvd, Suite 205, Santa Monica, CA 90403-5652 | 2008-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520972 | Isobel Gardner | Marriage & Family Therapist | 2730 Wilshire Boulevard #650, Santa Monica, CA 90403 | 2018-12-21 |
| 1477030369 | Jennifer Garcia | Dentist | 2901 Wilshire Blvd Ste 255, Santa Monica, CA 90403 | 2018-07-23 |
| 1215435847 | The Balance Lab Physical Therapy and Fitness | Physical Therapist | 2924 Wilshire Blvd, Santa Monica, CA 90403 | 2018-01-29 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1114446226 | Jafary Foot & Ankle Specialists LLC | Podiatrist | 2121 Wilshire Blvd Ste 101, Santa Monica, CA 90403 | 2017-09-11 |
| 1023553906 | Jory Faermark | Speech-Language Pathologist | 1158 26th Street, #417, Santa Monica, CA 90403 | 2016-12-30 |
| 1376095042 | William Michael Thornton | Chiropractor | 2118 Wilshire Blvd, #577, Santa Monica, CA 90403 | 2016-10-28 |
| 1801251723 | Lisa Lavoie | Naturopath | 1-935 Euclid St, Santa Monica, CA 90403 | 2015-12-18 |
| 1376915793 | Lisa Hanes | Marriage & Family Therapist | 1150 Yale Street, Suite 2, Santa Monica, CA 90403 | 2015-10-25 |
| 1386015386 | Natalie Kazarian | Marriage & Family Therapist | 2116 Wilshire Blvd Ste 241, Santa Monica, CA 90403 | 2015-10-15 |
| Find all providers in zip 90403 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679700181 | Akbar A Jamall | Ophthalmology | 2021 Santa Monica Blvd Ste 505e, Santa Monica, CA 90404-2158 | 2009-06-11 |
| 1134306996 | Thomas A. Hanscom, Md A Medical Corporation | Ophthalmology | 2021 Santa Monica Blvd Ste 720e, Santa Monica, CA 90404-2223 | 2008-01-23 |
| 1285825158 | William Kenneth Christian | Ophthalmology | 2001 Santa Monica Blvd Ste 985w, Santa Monica, CA 90404-2155 | 2007-08-06 |
| 1902950405 | Cynthia A. Boxrud | Ophthalmology | 2021 Santa Monica Blvd Ste 700e, Santa Monica, CA 90404-2208 | 2007-01-22 |
| 1255494480 | Louis Bernstein | Ophthalmology | 2901 Wilshire Boulevard, Suite 230, Santa Monica, CA 90403 | 2006-12-19 |
| 1851478481 | Michael Reynard | Ophthalmology | 1301 20th St Ste 260, Santa Monica, CA 90404-2052 | 2006-11-01 |
| 1609968601 | Kenneth Joseph Hoffer | Ophthalmology | 1301 20th St Ste 250, Santa Monica, CA 90404-2052 | 2006-09-28 |
| 1861414856 | Maria Braun | Ophthalmology | 1908 Santa Monica Blvd, Santa Monica, CA 90404-1927 | 2006-07-25 |
| 1205858396 | Troy Elander | Ophthalmology | 242 26th St, Santa Monica, CA 90402-2559 | 2006-07-24 |
| 1114950060 | Howard R Krauss | Ophthalmology | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2006-07-07 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.