Active NPI
Suman Preet Bharath, M.D.
- Neurology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A172816
- Practice address
- 127 S San Vicente Blvd Ste A6600
Los Angeles, CA 90048-3311 - Phone
- (310) 423-6472
- Fax
- (310) 423-0148
- NPI assigned
- Apr 27, 2017
- Reactivated
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology Physician | 2084N0400X | A172816 | CA | Primary |
Addresses
Primary practice location
127 S San Vicente Blvd Ste A6600
Los Angeles, CA 90048-3311
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 967-1780
Other practice location 1
65 James Street
Edison, NJ 08818
Phone (732) 321-7010 ext. 61685
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000
Hospital & facility affiliations
- Community Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.04 of 100
- Quality
- 78.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A172816 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Partners | Current | Accepting new patients |
Locations
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550
805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Fresno, CA
- NPI 1952912420
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625184000000",
"number": "1235664244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513",
"telephone_number": "310-967-1780",
"fax_number": "866-991-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S SAN VICENTE BLVD STE A6600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483311",
"telephone_number": "310-423-6472",
"fax_number": "310-423-0148"
}
],
"practiceLocations": [
{
"address_1": "65 James Street",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "08818",
"country_code": "US",
"telephone_number": "732-321-7010 x61685",
"fax_number": "732-632-1584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHARATH",
"first_name": "SUMAN",
"middle_name": "PREET",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-27",
"last_updated": "2021-07-02",
"certification_date": "2021-07-02",
"deactivation_date": "2017-11-29",
"reactivation_date": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A172816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.