Individual provider Active NPI

Sanjay Bhojraj, MD

  • Interventional Cardiology Physician
  • Murrieta, CA
National Provider Identifier
1124090303
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A112163 Issued in CA
Practice address
39815 Alta Murrieta Dr
Suite C-1
Murrieta, CA 92563-5459
Phone
(951) 268-8865
NPI assigned
Feb 2, 2006
Last updated
Mar 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036113185 IL
Cardiovascular Disease Physician 207RC0000X 4301087508 MI
Interventional Cardiology Physician 207RI0011X A112163 CA Primary

Addresses

Primary practice location

39815 Alta Murrieta Dr
Suite C-1
Murrieta, CA 92563-5459

Mailing address

28078 Baxter Rd
Suite 501
Murrieta, CA 92563-1402
Phone (951) 268-8865

Other identifiers 1

IdentifierTypeStateIssuer
A112163OtherCASTATE LICENSE

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
I20100917000880 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Interventional Cardiology 1850315987 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036113185ILMDInternal Medicine Physician
4301087508MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jul 1, 2014 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Shiva Heart Center Medical Group, Inc. Past Accepting new patients
Sanjay Deepak Bhojraj MD Inc Interventional Cardiology PastSince Feb 6, 2013 Accepting new patients
Sun City Cardiology Medical Center, Inc. Cardiovascular Disease Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1124090303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "SUITE 501",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-268-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39815 ALTA MURRIETA DR",
            "address_2": "SUITE C-1",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635459",
            "telephone_number": "951-268-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOJRAJ",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113185",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301087508",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A112163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A112163",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.