Individual provider Active NPI

Ramesh D Bambhania, M.D.

  • Internal Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1093729436
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A45672 Issued in CA
Practice address
16003 Tuscola Rd
Suite H
Apple Valley, CA 92307-0825
Phone
(760) 699-1110
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A45672 CA Primary

Addresses

Primary practice location

16003 Tuscola Rd
Suite H
Apple Valley, CA 92307-0825

Mailing address

PO Box 1139
Victorville, CA 92393-1139
Phone (760) 242-0600

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ37313ZMedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040723000834 CA Practitioner - Internal Medicine 3476533902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13095 Jamboree Rd
Tustin, CA 92782-9150
Phone (714) 838-8254

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions16
Skin biopsy16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45672CAMDMental Health Counselor
A45672CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Valley Community Hospital Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Lompoc Valley Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDDIAA/Endpoint/HDDIAA

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1093729436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931139",
            "telephone_number": "760-242-0600",
            "fax_number": "760-242-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 TUSCOLA RD",
            "address_2": "SUITE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070825",
            "telephone_number": "760-699-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBHANIA",
        "first_name": "RAMESH",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ37313Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.