Joni Arti Bhutra, M.D.

Individual provider Active NPI Pediatrics Physician · Newhall, CA

NPI 1073848123 · NPPES record last updated Jul 10, 2023

Key facts

NPI
1073848123
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
A107601 (CA)
Practice address
24515 Kansas St
Newhall, CA 91321-1719
Phone
(661) 253-4971
NPI assigned
Oct 7, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100331001056 CA Practitioner - Pediatric Medicine 2769518489 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A107601CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
County of Ventura Current
since Oct 1, 2014
Accepting new patients
Cortica Healthcare Inc Past Accepting new patients
Sunanda Reddy Vadapalli, MD, Inc Pediatrics Past Accepting new patients
Morris Yen, MD, Inc Pediatrics Past Accepting new patients

Locations

2000 Outlet Center Dr
Ste 110
Oxnard, CA 93036
Phone (805) 604-4588

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

800 S Victoria Ave
#L4615
Ventura, CA 93009
Phone (805) 677-5181

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

2625 Townsgate Rd
Ste 102
Westlake Vlg, CA 91361
Phone (805) 413-3009

Interoperability endpoints

  • Direct secure messaging: joni.arti.bhutra.1@14973.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A107601 CA Yes

Addresses

Primary practice location

24515 Kansas St
Newhall, CA 91321-1719

Mailing address

24515 Kansas St
Newhall, CA 91321-1719
Phone (661) 253-4971

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address joni.bhutra@ventura.cernerdirect.com Direct

Other providers in Newhall, CA

All providers in Newhall, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.