Active NPI
Jay M Bhatt, M.D.
- Pediatric Otolaryngology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- A126898
- Practice address
- 1010 W la Veta Ave Ste 640
Orange, CA 92868-4306 - Phone
- (715) 633-4020
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | DR0058490 | CO | |
| Otolaryngology Physician | 207Y00000X | A126898 | CA | |
| Pediatric Otolaryngology Physician | 207YP0228X | DR0058490 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Otolaryngology Physician | 207YP0228X | A126898 | CA | Primary |
Addresses
Primary practice location
1010 W la Veta Ave Ste 640
Orange, CA 92868-4306
Mailing address
1010 W la Veta Ave Ste 640
Orange, CA 92868-4306
Phone (715) 633-4020
Other practice location 1
5901 E 7th St
VA Long Beach
Long Beach, CA 90822-5201
Phone (562) 826-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A126898 | CA | MD | Pediatric Otolaryngology Physician |
| DR0058490 | CO | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Head & Neck Surgeons | Otolaryngology | Current | Accepting new patients |
| Children'S Hospital of Orange County | Pediatric Otolaryngology | Current | Accepting new patients |
| Pediatric Subspecialty Faculty, Inc. | Past | Accepting new patients | |
| Providence Health & Services - Wa | Past | Accepting new patients |
Locations
1010 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 633-4020
101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731
1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481
Dept LA 21333
Pasadena, CA 91185
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Orange, CA
- NPI 1275975104
Pediatric Otolaryngology
-
- Otolaryngology Physician
- Orange, CA
- NPI 1669437075
-
- Pediatrics Physician
- Orange, CA
- NPI 1790850279
-
- Skilled Nursing Facility
- Chewelah, WA
- NPI 1700038197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1174880496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 W LA VETA AVE STE 640",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684306",
"telephone_number": "715-633-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 W LA VETA AVE STE 640",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684306",
"telephone_number": "715-633-4020"
}
],
"practiceLocations": [
{
"address_1": "5901 E 7th St",
"address_2": "VA Long Beach",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908225201",
"country_code": "US",
"telephone_number": "562-826-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHATT",
"first_name": "JAY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CO",
"license": "DR0058490",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A126898",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "CO",
"license": "DR0058490",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "CA",
"license": "A126898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.