Madhumalti D. Bhavsar, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C146376 Issued in CA

Practice address

8710 Monroe CT Ste 150
Rancho Cucamonga, CA 91730-4885

Phone

(909) 941-4870

Fax

(909) 941-4875

NPI assigned

Jun 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Dr. Madhumalti D. Bhavsar Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inland Psychiatric Medical Group IncGroup PAC ID 9436062312, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1649217761
  Medicare reassignment Care Compare group NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Raj and Madhu P.C.

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1255520292
  NPD (past) Authorized official
• Department of State Hospitals

  • Psychiatric Hospital
  • Patton, CA
  • NPI 1043249204
  NPD
• Department of State Hospitals

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Inland Psychiatric Medical Group, Inc.

  • Psychiatry Physician
  • Redlands, CA
  • NPI 1336977990
  NPD
• Inland Psychiatric Medical Group Inc

  • Psychiatry Physician
  • Upland, CA
  • NPI 1821779505
  NPD (past)
• Canton Medical Care Center,P.C.

  • Clinic/Center
  • Canton, MI
  • NPI 1528002540
  NPD (past)
• Child and Family Service of Saginaw County

  • Addiction (Substance Use Disorder) Counselor
  • Saginaw, MI
  • NPI 1124763495
  NPD (past)
• Child and Family Service of Saginaw County

  • Clinical Social Worker
  • Saginaw, MI
  • NPI 1720069602

  Psychiatry

  NPD (past)
• My Home Doctor,P.C.

  • Physical Disabilities Residential Treatment Facility
  • Ypsilanti, MI
  • NPI 1023047883
  NPD (past)
• State of Michigan Office of Financial Management

  • Psychiatric Hospital
  • Caro, MI
  • NPI 1194767996
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1013958867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CHINO HILLS PKWY UNIT 823",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094289",
            "telephone_number": "734-717-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8710 MONROE CT STE 150",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304885",
            "telephone_number": "909-941-4870",
            "fax_number": "909-941-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42120 Echo Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481884818",
            "country_code": "US",
            "telephone_number": "734-398-5056",
            "fax_number": "734-398-5056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAVSAR",
        "first_name": "MADHUMALTI",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MI",
            "license": "4301068193",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C146376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2607900572",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4962501",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GOURP C",
            "identifier": "260049251",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHUMALTI",
            "last_name": "BHAVSAR",
            "middle_name": "D.",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Psychiatry Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.