Individual provider Active NPI

Amarpaul Singh Bhathal, M,D

  • Clinic/Center
  • Fresno, CA
National Provider Identifier
1225316573
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
A1333354 Issued in CA
Practice address
11338 N Blue Sage Ave
Fresno, CA 93730-8846
Phone
(949) 616-2105
NPI assigned
Aug 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Clinic/Center 261Q00000X A1333354 CA Primary

Addresses

Primary practice location

11338 N Blue Sage Ave
Fresno, CA 93730-8846

Mailing address

11338 N Blue Sage Ave
Fresno, CA 93730-8846

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621002140 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 4587989991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A1333354CAMDClinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Team, Inc Past Accepting new patients
Valley Health Team, Inc Past Accepting new patients
Valley Health Team, Inc PastSince Mar 5, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amarpaul.bhathal.p4@direct.vht.nextgenshare.com

Organizations & group practices 3

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1225316573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11338 N BLUE SAGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937308846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11338 N BLUE SAGE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937308846",
            "telephone_number": "949-616-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATHAL",
        "first_name": "AMARPAUL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M,D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-03",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A1333354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.