Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bahman John Moghadam

Individual provider Nephrology Physician · NPI 1215432190

Bahman John Moghadam is a Nephrology in Los Angeles, California. Qualified in 2014, 12 years ago. Practices with USC Care Medical Non-Contracted LLC, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2018
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Practice location Address checks out

1520 San Pablo St Ste 1000
Los Angeles, CA 90033-5312
Phone: (323) 442-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A173584 (CA)

Record details

NPI number1215432190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2018
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Usc Care Medical Non-Contracted Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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