Individual provider Active NPI

Altaf A Bhimji, L.C.S.W

  • Clinical Social Worker
  • Berkeley, CA
National Provider Identifier
1275741167
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW21486 Issued in CA
Practice address
1918 Bonita Ave FL 2
Berkeley, CA 94704-1014
Phone
(510) 480-7671
NPI assigned
May 21, 2007
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW21486 CA Primary

Addresses

Primary practice location

1918 Bonita Ave FL 2
Berkeley, CA 94704-1014

Mailing address

PO Box 27508
Oakland, CA 94602-0508
Phone (510) 480-7671

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110915000719 CA Practitioner - Clinical Social Worker 0648441097 Practice locations: Antioch, CA; Oakland, CA; El Cerrito, CA; Berkeley, CA; Brentwood, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1918 Bonita Ave
Berkeley, CA 94704-1014
Phone (510) 480-7671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW21486CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City of Berkeley Past Accepting new patients
Contra Costa County Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1275741167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27508",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946020508",
            "telephone_number": "510-480-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 BONITA AVE FL 2",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041014",
            "telephone_number": "510-480-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHIMJI",
        "first_name": "ALTAF",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW21486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.