Individual provider Active NPI

Marium Bhangda, N.P.

  • Family Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1386989085
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22726 Issued in CA
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

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130515000442 CA Practitioner - Nurse Practitioner 4486891272 Reassigns benefits to 1 organization
I20250826004318 OR Practitioner - Nurse Practitioner 4486891272 Reassigns benefits to 1 organization

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
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians

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

LicenseStateTypeSpecialty
781264CAMDRegistered Nurse
22726CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P3 Medical Group PC CurrentSince Aug 1, 2025 Accepting new patients
Greater Good Health PC, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Greater Good Health PC, Inc. CurrentSince Jan 12, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.