SOROYA BACCHUS MD (NPI# 1285084111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285084111 |
| Entity Type | Organization |
| Organization Name | SOROYA BACCHUS MD |
| Practice Address |
2730 Wilshire Blvd Suite 660 Santa Monica CA 90403-4743 |
| Practice Telephone | 3108294640 |
| Mailing Telephone | 3108294640 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | DR. SOROYA BACCHUS (OWNER) |
| Authorized Official Telephone | 3108294640 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G74246 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2730 WILSHIRE BLVD SUITE 660 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90403-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104814706 | Michael David Greenwald | Psychologist | 2730 Wilshire Blvd, Suite 650, Santa Monica, CA 90403-4743 | 2005-10-09 |
| 1558914994 | Allison Nurse-hofer | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-07-23 |
| 1770056434 | Elizabeth A Lauber | Marriage & Family Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2019-01-05 |
| 1770066193 | Stephanie Sarah Fogelson | Physical Therapist | 2730 Wilshire Blvd, Santa Monica, CA 90403-4743 | 2018-09-11 |
| 1992230718 | Skin By Lovely | Clinic/Center | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-04-30 |
| 1215478441 | Mind Health Institute Santa Monica | Psychiatry & Neurology | 2730 Wilshire Blvd, #507, Santa Monica, CA 90403-4743 | 2017-03-20 |
| 1679019715 | Kristy Charlier | Registered Nurse | 2730 Wilshire Blvd, Suite 320, Santa Monica, CA 90403-4743 | 2017-01-12 |
| 1982155198 | Jake Edward Goldman | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 630, Santa Monica, CA 90403-4743 | 2016-10-23 |
| 1881141026 | Molly Schaffer, Marriage & Family Therapist, PC | Marriage & Family Therapist | 2730 Wilshire Blvd, Suite 250, Santa Monica, CA 90403-4743 | 2016-09-06 |
| 1790238418 | Matrix Physical Therapy and Wellness | Clinic/Center | 2730 Wilshire Blvd, Suite 105, Santa Monica, CA 90403-4743 | 2016-07-28 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487100236 | Marguerite Maguire | Psychiatry & Neurology | 2444 Wilshire Blvd Ste 414, Santa Monica, CA 90403-5811 | 2016-08-31 |
| 1942696042 | Natassia Gaznick | Psychiatry & Neurology | 2730 Wilshire Blvd Ste 350, Santa Monica, CA 90403-4752 | 2015-04-15 |
| 1417393588 | Lawrence Herbert Warick Md | Psychiatry & Neurology | 2444 Wilshire Blvd., Suite 418, Lawrence H. Warick, M.d. Phd., Inc., Santa Monica, CA 90403 | 2013-05-16 |
| 1427329028 | F. David Rudnick, Md, A Medical Corporation | Psychiatry & Neurology | 501 Santa Monica Blvd Ste 509, Santa Monica, CA 90401-2432 | 2012-01-13 |
| 1922398478 | Chelsea L Neumann | Psychiatry & Neurology | 2730 Wilshire Blvd Ste 650-2, Santa Monica, CA 90403-4743 | 2011-04-17 |
| 1073843637 | Stacy A Cohen | Psychiatry & Neurology | 2730 Wilshire Blvd. #350, Santa Monica, CA 90403 | 2010-01-05 |
| 1134458508 | Barnet David Malin | Psychiatry & Neurology | 2230 25th St, Santa Monica, CA 90405-1815 | 2009-12-15 |
| 1861633018 | Lawrence M Warick Md, Inc | Psychiatry & Neurology | 2444 Wilshire Blvd., Suite 418, Santa Monica, CA 90403 | 2009-03-18 |
| 1821238270 | Loren Dexter Woodson | Psychiatry & Neurology | 926 Berkeley Street, Santa Monica, CA 90403-2308 | 2009-02-25 |
| 1801051248 | Neevon Carl Esmaili | Psychiatry & Neurology | 2730 Wilshire Blvd Ste 650, Santa Monica, CA 90403-4746 | 2008-07-24 |
| 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.