Active NPI
Marium Bhangda, N.P.
- Family Nurse Practitioner
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22726
- Practice address
- 710 N Euclid St
Anaheim, CA 92801-4122 - Phone
- (714) 517-2100
- Fax
- (714) 560-7678
- NPI assigned
- Dec 6, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 781264 | CA | |
| Family Nurse Practitioner | 363LF0000X | 22726 | CA | Primary |
Addresses
Primary practice location
710 N Euclid St
Anaheim, CA 92801-4122
Mailing address
886 Veneto
Irvine, CA 92614-5968
Phone (407) 924-9812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Continental Blvd
Suite 635
El Segundo, CA 90245-5040
Phone (310) 658-3775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 781264 | CA | MD | Registered Nurse |
| 22726 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P3 Medical Group PC | Current | Accepting new patients | |
| Greater Good Health PC, Inc. | Current | Accepting new patients | |
| Greater Good Health PC, Inc. | Current | Accepting new patients |
Locations
300 Continental Blvd
Ste 635
El Segundo, CA 90245
Phone (310) 658-3775
2370 Corporate Cir
Ste 300
Henderson, NV 89074
Phone (702) 910-3950
3190 State St
Ste 102
Medford, OR 97504
Phone (541) 537-8007
1813 W Harvard Ave
Ste 434
Roseburg, OR 97471
Phone (541) 440-5320
Interoperability endpoints
- marium.bhangda.1@17520.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Nurse Practitioner
- El Segundo, CA
- NPI 1821673005
-
- Family Medicine Physician
- Salem, OR
- NPI 1689266926
-
- Primary Care Clinic/Center
- Ammon, ID
- NPI 1033095914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1386989085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 VENETO",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145968",
"telephone_number": "407-924-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928014122",
"telephone_number": "714-517-2100",
"fax_number": "714-560-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANGDA",
"first_name": "MARIUM",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "781264",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.