Chitra Bhakta M.D.a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A63631 Issued in CA

Legal business name

CHITRA BHAKTA M.D.A PROFESSIONAL CORPORATION

Practice address

14591 Newport Ave
Suite 208
Tustin, CA 92780-6001

Phone

(888) 906-2462

NPI assigned

Jun 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chitra Anjani Bhakta, M.D.

Title

Doctor

Phone

(888) 906-2462

Specialties & licenses 1

Addresses

Other names 1

• OC INTEGRATIVE MEDICAL CENTER Doing business as

Tax ID family

Chitra Bhakta MD a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chitra Bhakta MD, a Professional Corporation

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1164960670
  NPD tax ID

Locations

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1396972113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE",
            "address_2": "SUITE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806001",
            "telephone_number": "888-906-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14591 NEWPORT AVE",
            "address_2": "SUITE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806001",
            "telephone_number": "888-906-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITRA BHAKTA M.D.A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_middle_name": "ANJANI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "888-906-2462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A63631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC INTEGRATIVE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Child and Adolescent Behavioral Health Center
• Child and Adolescent Behavioral Health Center, a Psychology Corp.
• Aleen Chin, MD
• Karla Maria Chinchilla Castro, ASW
• Sneha Chintamaneni, MD
• Edwin Chiu
• Denise Chludniewicz
• Jae Bome Cho, LAC.,OMD
• Stanley W Cho, M.D.
• Amy Choi, D.C

• Family Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.