NPIMap

Organization Active NPI

Pardeep S. Bhullar MD, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Fresno, CA
National Provider Identifier
1497951974
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A615370 Issued in CA
Legal business name
PARDEEP S. BHULLAR MD, INC
Practice address
7370 N Palm Ave Ste 101
Fresno, CA 93711-5782
Phone
(559) 696-8046
NPI assigned
Jun 22, 2007
Last updated
Jun 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Dr. Pardeep S. Bhullar, M.D.NPI 1063419364
Title
Physician
Phone
(559) 696-8046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X A615370 CA Primary

Addresses

Primary practice location

7370 N Palm Ave Ste 101
Fresno, CA 93711-5782

Mailing address

1975 N Jasmine Ave
Clovis, CA 93619-2801
Phone (559) 696-8046

Other identifiers 1

IdentifierTypeStateIssuer
00A615370MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1497951974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 N JASMINE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936192801",
            "telephone_number": "559-696-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7370 N PALM AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115782",
            "telephone_number": "559-696-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARDEEP S. BHULLAR MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BHULLAR",
        "authorized_official_first_name": "PARDEEP",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "559-696-8046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A615370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.