BAHAR TINA ALIDAD, Pharm.D., APh — NPI 1508222035 (Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in MONTEBELLO, CA)

CMS-1500 Box 24J / 33a • NPI

1508222035

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835P0018X

Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Box 32 Service Location & ZIP+4

1417 W BEVERLY BLVD, MONTEBELLO, CA, 90640-4123

✓ 9-Digit EDI 837 ZIP+4 (90640-4123)

Practice Phone & Referral Fax

(323) 714-0788

Fax: (323) 477-1272

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1508222035 (BAHAR TINA ALIDAD, Pharm.D., APh) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1508222035` (NPI-1 Individual Practitioner)
Provider / Legal Name	BAHAR TINA ALIDAD, Pharm.D., APh
Plain-English Specialty	Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist NUCC Code: `1835P0018X` (Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1417 W BEVERLY BLVD, MONTEBELLO, CA, 90640-4123
Practice Telephone / Fax	Tel: (323) 714-0788 \| Fax: (323) 477-1272
Administrative Mailing Address	1417 W BEVERLY BLVD, MONTEBELLO, CA, 90640-4123
Enumeration & Last Sync	Enumerated: 2016-01-13 \| CMS Record Updated: 2020-05-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1417 W BEVERLY BLVD, MONTEBELLO, CA, 90640-4123

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Plain-English Taxonomy & CMS Crosswalk (1835P0018X)

What Does Taxonomy Code 1835P0018X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P0018X translates to:
"Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BAHAR TINA ALIDAD, Pharm.D., APh)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`183500000X` — Pharmacist Plain English: Licensed & Credentialed Pharmacist	State: CA \| License: `73848` \| Primary: Secondary
`1835P0018X` — Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Plain English: Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	State: CA \| License: `10563` \| Primary: Yes (Primary)

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BAHAR TINA ALIDAD, Pharm.D., APh (NPI #1508222035)