NPIMap

Individual provider Active NPI

Nitin Ubhayakar, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Pasadena, CA
National Provider Identifier
1407114515
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
A135630 Issued in CA
Practice address
401 S Fair Oaks Ave
Pasadena, CA 91105-2603
Phone
(626) 304-4400
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X A135630 CA Primary

Addresses

Primary practice location

401 S Fair Oaks Ave
Pasadena, CA 91105-2603

Mailing address

401 S Fair Oaks Ave
Pasadena, CA 91105-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160812000815 CA Practitioner - Emergency MedicinePractitioner - Hospice/Palliative Care 0446477939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Hospice/Palliative Care
Education
University of Cincinnati College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A135630CAMDHospice and Palliative Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Huntington Medical Foundation Hospice and Palliative Medicine CurrentSince Apr 23, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 11, 2016 Accepting new patients
Victory Emergency Physicians Medical Group Inc CurrentSince Aug 1, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Mar 1, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 11, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Mar 1, 2021 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

401 S Fair Oaks Ave
Pasadena, CA 91105
Phone (323) 720-1144

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1407114515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052603",
            "telephone_number": "626-304-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UBHAYAKAR",
        "first_name": "NITIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A135630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.