NPIMap

Epic Medical Group,Inc

Organization Active NPI Critical Care Medicine (Internal Medicine) Physician · Sherman Oaks, CA

NPI 1295178689 · NPPES record last updated Mar 12, 2024

Key facts

NPI
1295178689
Entity type
Organization (NPI type 2)
Primary specialty
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Legal business name
EPIC MEDICAL GROUP,INC
Practice address
4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403-1700
Phone
(818) 528-1260
NPI assigned
Apr 16, 2013
Organization subpart
No

Authorized official

Name
Dr. Sundeep Bhatia, MD NPI 1659576544
Title
President
Phone
(818) 528-1260

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130612000470 CA Part B Supplier - Clinic/Group Practice 4385883958 Receives reassigned benefits from 71 practitioners
Practice locations: Anaheim, CA; Victorville, CA; Sherman Oaks, CA; Lynwood, CA; Chino, CA

National Provider Directory

Locations

5450 Jefferson Ave
Ste 6
Chino, CA 91710
Phone (909) 464-8722

501 W Glenoaks Blvd
Ste 26
Glendale, CA 91202

501 W Glenoaks Blvd
Ste 120
Glendale, CA 91202

328 E 34th St
New York, NY 10016
Phone (212) 581-2020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X
Critical Care Medicine (Internal Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RC0200X Yes

Addresses

Primary practice location

4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403-1700

Mailing address

4955 Van Nuys Blvd Ste 308
Sherman Oaks, CA 91403-1811
Phone (818) 528-1260

Other practice location 1

3033 W Orange Ave
Anaheim, CA 92804-3156
Phone (657) 276-7080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 12, 2024.

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1295178689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 308",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031811",
            "telephone_number": "818-528-1260",
            "fax_number": "818-528-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD",
            "address_2": "STE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031700",
            "telephone_number": "818-528-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3033 W Orange Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043156",
            "country_code": "US",
            "telephone_number": "657-276-7080",
            "fax_number": "818-817-0845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPIC MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-528-1260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

All providers in Sherman Oaks, CA · Critical Care Medicine (Internal Medicine) Physician in California

Sources for this page

Verify at the official NPI Registry.