Organization Active NPI

Sunil G Bhandarkar MD Inc

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1144461427
Registry record updated Aug 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A91354 Issued in CA
Legal business name
SUNIL G BHANDARKAR MD INC
Practice address
321 N. Larchmont Blvd
Suite #700
Los Angeles, CA 90004-6407
Phone
(323) 467-7161
Fax
(323) 467-3922
NPI assigned
Mar 16, 2009
Last updated
Aug 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2012

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

Authorized official

Name
Dr. Sunil Gopal Bhandarkar, M.D.NPI 1518977685
Title
President
Phone
(323) 467-7161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A91354 CA Primary

Addresses

Primary practice location

321 N. Larchmont Blvd
Suite #700
Los Angeles, CA 90004-6407

Mailing address

321 N. Larchmont Blvd
Suite #700
Los Angeles, CA 90004-6407
Phone (323) 467-7161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090601000065 CA Part B Supplier - Clinic/Group Practice 5193874709 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2070464Sunil G. Bhandarkar MD Inc.321 N. Larchmont Blvd Ste 700, Los Angeles, CA 90004Certificate of waiverDec 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344643200000",
    "number": "1144461427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N. LARCHMONT BLVD",
            "address_2": "SUITE #700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046407",
            "telephone_number": "323-467-7161",
            "fax_number": "323-467-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N. LARCHMONT BLVD",
            "address_2": "SUITE #700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046407",
            "telephone_number": "323-467-7161",
            "fax_number": "323-467-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL G BHANDARKAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2012-08-11",
        "status": "A",
        "authorized_official_last_name": "BHANDARKAR",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "GOPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-467-7161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A91354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.