Active NPI
Chitra Bhakta MD, a Professional Corporation
Doing business as Orange County Integrative Medical Center
- Family Medicine Physician
- Newport Beach, CA
National Provider Identifier
1164960670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A63631
- Legal business name
- CHITRA BHAKTA MD, A PROFESSIONAL CORPORATION
- Doing business as
- Orange County Integrative Medical Center
- Practice address
- 1525 Superior Ave
Suite 206
Newport Beach, CA 92663-3639 - Phone
- (949) 642-3333
- Fax
- (949) 242-4020
- NPI assigned
- Feb 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chitra Anjani Bhakta, MD
- Title
- President
- Phone
- (949) 642-3333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A63631 | CA | Primary |
Addresses
Primary practice location
1525 Superior Ave
Suite 206
Newport Beach, CA 92663-3639
Mailing address
1525 Superior Ave
Suite 206
Newport Beach, CA 92663-3639
Phone (949) 642-3333
Other names 1
- Orange County Integrative Medical Center
National Provider Directory
National Provider Directory- Tax ID family
- Chitra Bhakta MD a Professional Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Oc Integrative Medical Center
- Family Medicine Physician
- Tustin, CA
- NPI 1396972113
Locations
1525 Superior Ave
Ste 206
Newport Beach, CA 92663
Phone (949) 642-3333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486080000000",
"number": "1164960670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 SUPERIOR AVE",
"address_2": "SUITE 206",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633639",
"telephone_number": "949-642-3333",
"fax_number": "949-242-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 SUPERIOR AVE",
"address_2": "SUITE 206",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633639",
"telephone_number": "949-642-3333",
"fax_number": "949-242-4020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHITRA BHAKTA MD, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-03",
"last_updated": "2017-02-03",
"status": "A",
"authorized_official_last_name": "BHAKTA",
"authorized_official_first_name": "CHITRA",
"authorized_official_middle_name": "ANJANI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-642-3333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A63631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orange County Integrative Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.