Organization Active NPI

Bhagya Nakka, M.D., Inc.

  • Obstetrics & Gynecology Physician
  • Stockton, CA
National Provider Identifier
1174756027
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A96365 Issued in CA
Legal business name
BHAGYA NAKKA, M.D., INC.
Practice address
420 W Acacia St
Suite 22
Stockton, CA 95203-2441
Phone
(209) 518-6221
NPI assigned
Aug 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Dr. Bhagya Nakka, M.D.
Title
President
Phone
(209) 518-6221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A96365 CA Primary

Addresses

Primary practice location

420 W Acacia St
Suite 22
Stockton, CA 95203-2441

Mailing address

420 W Acacia St
Suite 22
Stockton, CA 95203-2441
Phone (209) 518-6221

National Provider Directory

National Provider Directory

Locations

420 W Acacia St
Ste 22
Stockton, CA 95203
Phone (209) 242-2690

1805 N California St
Ste 202
Stockton, CA 95204
Phone (209) 242-2690

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1174756027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUITE 22",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-518-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "SUITE 22",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-518-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHAGYA NAKKA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "NAKKA",
        "authorized_official_first_name": "BHAGYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-518-6221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A96365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.