Organization Active NPI

Ashwani Bhardwaj, M.D. Inc.

  • Internal Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1306269535
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54408 Issued in CA
Legal business name
ASHWANI BHARDWAJ, M.D. INC.
Practice address
15211 Vanowen St Ste 205
Van Nuys, CA 91405-3619
Phone
(818) 778-6332
Fax
(818) 778-6322
NPI assigned
Jan 23, 2014
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Ms. Maribel Martinez
Title
Biller
Phone
(818) 778-6332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A54408 CA Primary

Addresses

Primary practice location

15211 Vanowen St Ste 205
Van Nuys, CA 91405-3619

Mailing address

15211 Vanowen St Ste 205
Van Nuys, CA 91405-3619
Phone (818) 778-6332

Other identifiers 2

IdentifierTypeStateIssuer
G25234OtherCAUPIN
A54408OtherCALIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241108003827 CA Part B Supplier - Clinic/Group Practice 5395279624 Receives reassigned benefits from 1 practitioner
Practice locations: Van Nuys, CA

National Provider Directory

National Provider Directory

Locations

15211 Vanowen St
Ste 205
Van Nuys, CA 91405
Phone (818) 367-1012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1306269535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053619",
            "telephone_number": "818-778-6332",
            "fax_number": "818-778-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053619",
            "telephone_number": "818-778-6332",
            "fax_number": "818-778-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHWANI BHARDWAJ, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "818-778-6332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G25234",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "A54408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.