Organization Active NPI

BMD Health Group LLC

  • Community/Retail Pharmacy
  • Mission Hills, CA
National Provider Identifier
1407968332
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY35810 Issued in CA
Legal business name
BMD HEALTH GROUP LLC
Practice address
11550 Indian Hills Rd
Ste 130
Mission Hills, CA 91345-1200
Phone
(818) 898-1628
Fax
(818) 365-3539
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Darshit Kanubhai PatelNPI 1144862020
Title
LLC Managing Member
Phone
(714) 473-9135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY35810 CA Primary

Addresses

Primary practice location

11550 Indian Hills Rd
Ste 130
Mission Hills, CA 91345-1200

Mailing address

11550 Indian Hills Rd
Ste 130
Mission Hills, CA 91345-1200
Phone (818) 898-1628

Other identifiers 3

IdentifierTypeStateIssuer
1997793OtherPK
1407968332MedicaidCA
PHA358100MedicaidCA

Other names 1

  • Holy Cross Specialty Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250320003618 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7113449968 Practice locations: Mission Hills, CA
O20250321002204 CA DME Supplier - Pharmacy 7113449968 Practice locations: Mission Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Holy Cross Specialty Pharmacy11550 Indian Hills Rd, Mission Hills, CA 91345-1201(818) 898-1628 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Feb 12, 2025

National Provider Directory

National Provider Directory

Locations

11550 Indian Hills Rd
Ste 130
Mission Hills, CA 91345
Phone (818) 898-1628

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1407968332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "STE 130",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-898-1628",
            "fax_number": "818-365-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "STE 130",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-898-1628",
            "fax_number": "818-365-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMD HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DARSHIT",
        "authorized_official_middle_name": "KANUBHAI",
        "authorized_official_title_or_position": "LLC MANAGING MEMBER",
        "authorized_official_telephone_number": "714-473-9135"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY35810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1997793",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407968332",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA358100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Cross Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.