Individual provider Active NPI

Parag Bharadwaj, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Bernardino, CA
National Provider Identifier
1417028184
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
A79755 Issued in CA
Practice address
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone
(714) 651-2247
NPI assigned
Nov 13, 2006
Last updated
May 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060330000696 CA Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 1759399819 Reassigns benefits to 3 organizations
I20250130001176 VA Practitioner - Internal Medicine 1759399819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
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 100Reported as group
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

LicenseStateTypeSpecialty
A79755CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalyanam Health Hospice and Palliative Medicine CurrentSince Jun 1, 2025 Accepting new patients
Compass Palliative Care, Inc CurrentSince Aug 30, 2025 Accepting new patients
Memorialcare Medical Foundation Internal Medicine CurrentSince Aug 15, 2018 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 16, 2024 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Dec 16, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.