Individual provider Active NPI

Sarbani Bhaduri, M.D.

  • Nephrology Physician
  • Glendale, CA
National Provider Identifier
1174716765
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A53146 Issued in CA
Practice address
661 Woodbury Rd
Glendale, CA 91206-2649
Phone
(415) 613-6514
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A53146 CA Primary

Addresses

Primary practice location

661 Woodbury Rd
Glendale, CA 91206-2649

Mailing address

661 Woodbury Rd
Glendale, CA 91206-2649

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53146CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Nephrology Associates Medical Group Inc Nephrology Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1174716765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 WOODBURY RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 WOODBURY RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062649",
            "telephone_number": "415-613-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHADURI",
        "first_name": "SARBANI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A53146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.