Dr Bita Bagheri, MD | |
12665 Garden Grove Blvd Ste 301, Garden Grove, CA 92843-1917 | |
(714) 636-6282 | |
(714) 422-0960 |
Full Name | Dr Bita Bagheri |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 27 Years |
Location | 12665 Garden Grove Blvd Ste 301, Garden Grove, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467493163 | NPI | - | NPPES |
1730180415 | Other | CA | GROUP PTAN |
G86148 | Other | CA | MEDICAL LICENSE |
P00216382 | Other | PA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD423494 (Pennsylvania) | Secondary |
207N00000X | Dermatology | G86148 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
K.alexander Dastgheib M.d. Inc | 1254466808 | 2 |
Entity Name | K.alexander Dastgheib M.d. Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922205202 PECOS PAC ID: 1254466808 Enrollment ID: O20100322000117 |
Entity Name | Pure Dermatology |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912246570 PECOS PAC ID: 7416192323 Enrollment ID: O20130326000129 |
Mailing Address | Practice Location Address |
---|---|
Dr Bita Bagheri, MD 12665 Garden Grove Blvd Ste 301, Garden Grove, CA 92843-1917 Ph: (714) 636-6282 | Dr Bita Bagheri, MD 12665 Garden Grove Blvd Ste 301, Garden Grove, CA 92843-1917 Ph: (714) 636-6282 |
Ashley Landon Brown, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12100 Euclid St, Garden Grove, CA 92840 Phone: 888-988-2800 | |
Henry Thien-hoa Quach, MD Dermatology Medicare: Medicare Enrolled Practice Location: 12100 Euclid St Fl 2, Garden Grove, CA 92840 Phone: 833-574-2273 |