Individual provider Active NPI

Anita Bhagavath, M.D

  • Pulmonary Disease Physician
  • Torrance, CA
National Provider Identifier
1124394135
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
19181 Issued in NH
Practice address
3565 Del Amo Blvd
Torrance, CA 90503-1637
Phone
(702) 579-3203
NPI assigned
Mar 25, 2012
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 19181 NH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3565 Del Amo Blvd
Torrance, CA 90503-1637

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

15 Collingwood Dr
Huntington Station, NY 11746-4736
Phone (631) 549-0919

Other practice location 2

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone (951) 373-5826

Other practice location 3

166 Kinsley St Ste 101
Nashua, NH 03060-3676
Phone (603) 889-4131

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
I20190620001804 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6305192477 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3565 Del Amo Blvd
Torrance, CA 90503-1637
Phone (310) 214-0811

824 E Carson St
Suite 104
Carson, CA 90745-2262
Phone (310) 830-9706

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19181NHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El-Bershawi Medical Corp Pulmonary Disease CurrentSince Jul 1, 2019 Accepting new patients
HP Intensivist Medical Group, Inc CurrentSince Mar 1, 2022 Accepting new patients
Arcadia Intensivist Group, Inc. CurrentSince Dec 21, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 13, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince May 13, 2023 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Maple Medical, LLP Past Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

3565 Del Amo Blvd
Torrance, CA 90503

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: abhagavath205608@westdirect.optum.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1124394135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031637",
            "telephone_number": "702-579-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Collingwood Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington Station",
            "state": "NY",
            "postal_code": "117464736",
            "country_code": "US",
            "telephone_number": "631-549-0919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4234 Riverwalk Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053312",
            "country_code": "US",
            "telephone_number": "951-373-5826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Kinsley St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603676",
            "country_code": "US",
            "telephone_number": "603-889-4131",
            "fax_number": "603-889-6419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAGAVATH",
        "first_name": "ANITA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "19181",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.