Deep Bhavsar III, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

060802396 Issued in CA

Practice address

1075 Yorba PL
Placentia, CA 92870-3152

Phone

(714) 524-3500

NPI assigned

Jan 19, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Caldwell Physical Therapy & Sports Rehabilitation Inc.

  • Physical Therapy Clinic/Center
  • Placentia, CA
  • NPI 1730236720
  NPD (past)

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

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1376932095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 YORBA PL",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703152",
            "telephone_number": "714-524-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 YORBA PL",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703152",
            "telephone_number": "714-524-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAVSAR",
        "first_name": "DEEP",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "060802396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Roland Bennett IV, DDS
• Berkeley Psychological Services
• Nicole M Bertucci, LMFT
• Karyn Taylor Best
• Beverly Oncology & Imaging Center Medical GR
• Ryan Daniel Bias, D.C.
• Marius Bilauca, RN
• Doris Karen Billings, OTR/L
• Samantha Marie Blackler, M.S.
• Veron-Ja Blake

• Athletic Trainer in Placentia, CA
• Providers in Placentia, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.