Active NPI
Bakthan Savarirayan, M.D
- Surgery Physician
- Anaheim, CA
National Provider Identifier
1003948035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A26233
- Practice address
- 3356 W Ball Rd
Suite 205
Anaheim, CA 92804-3702 - Phone
- (714) 761-0332
- Fax
- (714) 761-8792
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A26233 | CA | Primary |
Addresses
Primary practice location
3356 W Ball Rd
Suite 205
Anaheim, CA 92804-3702
Mailing address
3356 W Ball Rd
Suite 205
Anaheim, CA 92804-3702
Phone (714) 761-0332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ762832 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A26233 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Memorial Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003948035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 W BALL RD",
"address_2": "SUITE 205",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043702",
"telephone_number": "714-761-0332",
"fax_number": "714-761-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 W BALL RD",
"address_2": "SUITE 205",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928043702",
"telephone_number": "714-761-0332",
"fax_number": "714-761-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVARIRAYAN",
"first_name": "BAKTHAN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A26233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ762832",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.