Individual provider Active NPI

Bharat Bhushan, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Palo Alto, CA
National Provider Identifier
1497899744
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
A064621 Issued in CA
Practice address
451 Lytton Ave
Palo Alto, CA 94301-1535
Phone
(650) 562-3635
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X A064621 CA Primary

Addresses

Primary practice location

451 Lytton Ave
Palo Alto, CA 94301-1535

Mailing address

451 Lytton Ave
Palo Alto, CA 94301-1535
Phone (650) 562-3635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 31, 2016 through Aug 31, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A064621CAMDAddiction Medicine (Psychiatry & Neurology) Physician
64621CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497899744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 LYTTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011535",
            "telephone_number": "650-562-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 LYTTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011535",
            "telephone_number": "650-562-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUSHAN",
        "first_name": "BHARAT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A064621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.