Rajiv Ishwarlal Bhavsar, M.D., a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C50717 Issued in CA

Legal business name

RAJIV ISHWARLAL BHAVSAR, M.D., A MEDICAL CORPORATION

Practice address

1321 N Harbor Blvd Ste 302
Fullerton, CA 92835-4131

Phone

(714) 441-0591

Fax

(714) 441-0594

NPI assigned

Jun 17, 2011

Organization subpart

Yes

Parent organization

RAJIV ISHWARLAL BHAVSAR, M.D., A MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Rajiv I Bhavsar, M.D.NPI 1477550648

Title

President/ Owner

Phone

(714) 441-0591

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rajiv I. Bhavsar, M.D. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Rajiv Ishwarlal Bhavsar

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajiv I Bhavsar, M.D.

  • Internal Medicine Physician
  • Fullerton, CA
  • NPI 1477550648
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1144515099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD STE 302",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354131",
            "telephone_number": "714-441-0591",
            "fax_number": "714-441-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N HARBOR BLVD STE 302",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354131",
            "telephone_number": "714-441-0591",
            "fax_number": "714-441-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJIV ISHWARLAL BHAVSAR, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAJIV ISHWARLAL BHAVSAR, M.D., A MEDICAL CORPORATION",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "BHAVSAR",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "714-441-0591",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C507170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rajiv I. Bhavsar, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katlyn Rael
• Morgan Raes
• Angga Smaradika Rahadyan, LMFT
• Allyson Rahlwes
• Alyssa Rai
• Ralphs Grocery Company
• Erin Ramachandran, PSYD
• Heather Ramaekers
• Averyl Ramas, B.S.
• Gustavo Ramirez Alonso

• Internal Medicine Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.