Individual provider Active NPI

Bhavik Bhakta, D.D.S

  • Dentist
  • Corona, CA
National Provider Identifier
1124476254
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65037 Issued in CA
Practice address
1820 Fullerton Ave Ste 227
Corona, CA 92881-3160
Phone
(951) 371-1337
NPI assigned
May 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 65037 CA Primary

Addresses

Primary practice location

1820 Fullerton Ave Ste 227
Corona, CA 92881-3160

Mailing address

1820 Fullerton Ave Ste 227
Corona, CA 92881-3160
Phone (951) 371-1337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bhavik Bhakta DDS Inc CurrentSince Aug 1, 2020 Accepting new patients
Nikhil Desai DDS Inc PastSince Oct 27, 2019 Accepting new patients
P Kansagra DDS Inc PastSince Jul 16, 2018 Accepting new patients
V Rana Dental Corporation PastSince Dec 15, 2019 Accepting new patients
Pradip D Patel DDS Inc Dentist PastSince Oct 27, 2019 Accepting new patients

Locations

770 Magnolia Ave
Ste 1A
Corona, CA 92879
Phone (714) 735-3010

1820 Fullerton Ave
Ste 227
Corona, CA 92881
Phone (951) 371-1337

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.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1124476254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 227",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813160",
            "telephone_number": "951-371-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 227",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813160",
            "telephone_number": "951-371-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "BHAVIK",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.