Active NPI
Parag Bharadwaj, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Bernardino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- A79755
- Practice address
- 2101 N Waterman Ave
San Bernardino, CA 92404-4836 - Phone
- (714) 651-2247
- NPI assigned
- Nov 13, 2006
- Last updated
- May 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A79755 | CA | |
| Internal Medicine Physician | 207R00000X | A79755 | CA | |
| Internal Medicine Physician | 207R00000X | 0101253201 | VA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | A79755 | CA | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 0101253201 | VA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 0101253201 | VA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A79755 | CA | Primary |
Addresses
Primary practice location
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Mailing address
5300 Beach Blvd Ste 110-384
Buena Park, CA 90621-1250
Phone (714) 651-2247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospice/Palliative Care
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
San Bernardino, CA 92404
Phone (714) 651-2247
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 81.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79755 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalyanam Health | Hospice and Palliative Medicine | Current | Accepting new patients |
| Compass Palliative Care, Inc | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Mary Washington Healthcare Physicians | Current | Accepting new patients |
Locations
5300 Beach Blvd
Ste 110384
Buena Park, CA 90621
2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272
2501 W Burbank Blvd
Ste 206
Burbank, CA 91505
Phone (818) 333-5876
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
120 Executive Center Pkwy
Fredericksburg, VA 22401
Phone (540) 374-5097
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pbharadwaj504183@direct.memorialcare.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Bernardino, CA
- NPI 1053103267
-
- Hospice and Palliative Medicine (Surgery) Physician
- Burbank, CA
- NPI 1124693924
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1417028184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 BEACH BLVD STE 110-384",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211250",
"telephone_number": "714-651-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N WATERMAN AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044836",
"telephone_number": "714-651-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHARADWAJ",
"first_name": "PARAG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A79755",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A79755",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101253201",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CA",
"license": "A79755",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "VA",
"license": "0101253201",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "VA",
"license": "0101253201",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A79755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.