Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154461051 Individual Practitioner Male Practitioner

Dr. Menouchehr Bazyani , MD

Pediatrics • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Dr. Menouchehr Bazyani, MD is a registered healthcare professional specializing in Pediatrics in Clovis, CA. Practice services are available at 2497 HERNDON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2497 Herndon Ave

Clovis, CA 936118976

Telephone 8004924227
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Clovis, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A87582

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Emergency Medicine

NUCC Taxonomy Code: 2080P0204X

State License CA A87582

A pediatrician who has special qualifications to manage emergencies in infants and children.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00A875820 (CA)

Secondary Practice Locations

650 S Zediker Ave, Bldg #1

Parlier, CA 936482666

Phone: 5596463561

30195 Fraser Dr

Lake Elsinore, CA 925307006

Phone: 9512522720

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Natalie Betancur , FNP-C

Nurse Practitioner - Family

NPI 1003541020

Family Nurse Practitioner (Certified)

Steven Connell , PA

Physician Assistant

NPI 1023240447

Physician Assistant

Dr. Gurpinder Dhillon , MD

Student in an Organized Health Care Education/Training Program

NPI 1033046032

Doctor of Medicine (M.D.)

NPI 1033572177

Doctor of Medicine (M.D.)

Chenqi Ji

Dentist

NPI 1033781851
NPI 1053201798

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location July 21, 2022

Registered at 2497 HERNDON AVE, CLOVIS, CA 936118976 (Tel: 8004924227)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #A87582 in CA)

NPI Profile Active February 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2018

Registered at 30195 FRASER DR, LAKE ELSINORE, CA 925307006 (Tel: 9512522720)

📍
Updated Business Mailing Address February 07, 2018

Registered at 30195 FRASER DR, LAKE ELSINORE, CA 925307006 (Tel: 9512522720)

👤
Provider Name / Credentials Updated February 07, 2018

Recorded as MENOUCHEHR BAZYANI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2018

Pediatrics (License #A87582 in CA)

NPI Profile Active September 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2013

Registered at 650 S ZEDIKER AVE, BLDG #1, PARLIER, CA 936482666 (Tel: 5596463561)

📍
Updated Business Mailing Address September 22, 2013

Registered at 650 S ZEDIKER AVE, BLDG #1, PARLIER, CA 936482666 (Tel: 5596463561)

👤
Provider Name / Credentials Updated September 22, 2013

Recorded as MENOUCHEHR BAZYANI, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2013

Pediatrics (License #A87582 in CA)

🟢
Initial NPI Registration & Enumeration February 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154461051
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

30195 Fraser Dr

Lake Elsinore, CA 925307006

Phone: 9512522720

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.