Jitendra R Bhatt, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Capistrano Beach, CA
NPI 1457486102 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457486102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- CFE26213 (CA)
- Practice address
- 34561 Camino Capistrano
Capistrano Beach, CA 92624-1231 - Phone
- (949) 496-1821
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFE26213 | CA | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | CFE26213 | CA | Yes |
Addresses
Primary practice location
34561 Camino Capistrano
Capistrano Beach, CA 92624-1231
Mailing address
34561 Camino Capistrano
Capistrano Beach, CA 92624-1231
Phone (949) 496-1821
Other providers in Capistrano Beach, CA
- Associated Respiratory Therapy & Home Care Supplies
- Tiffany L.C. Atkinson
- Baby Book Inc
- Beacon Health Services, Inc.
- Christopher Beddoe
- Catherine Breton
- Christopher James Brown
- Patricia Saccomanno Brown
- Brad Edward Budde
- Capistrano Beach Care Center, LLC
All providers in Capistrano Beach, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.