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

Mitra Blair Bahaee, MD

Individual provider Family Medicine Physician · NPI 1407417736

Mitra Blair Bahaee, MD is a Family Practice in LA Jolla, California. Graduated from Wayne State University School of Medicine in 2019, 7 years ago. Practices with Monica Perlman MD Inc, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Michigan.

Years since qualifying
7
Trained at
Wayne State University School of Medicine
Licensed in
CA, MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9850 Genesee Ave Ste 320
LA Jolla, CA 92037-1208
Phone: (858) 554-1212
Fax: (858) 795-1195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A178502 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4351044605 (MI)

Record details

NPI number1407417736
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address9850 Genesee Ave Ste 320, La Jolla, CA 92037-1208

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Monica Perlman Md Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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