Individual provider Active NPI

Sunil Gopal Bhandarkar, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1518977685
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A91354 Issued in CA
Practice address
321 N Larchmont Blvd
Suite #700
Los Angeles, CA 90004-6407
Phone
(323) 467-7161
Fax
(323) 467-3922
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A91354 CA Primary

Addresses

Primary practice location

321 N Larchmont Blvd
Suite #700
Los Angeles, CA 90004-6407

Mailing address

2200 Colorado Ave
Apt #516
Santa Monica, CA 90404-3571
Phone (310) 828-0721

Other identifiers 1

IdentifierTypeStateIssuer
A91354OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050608001164 CA Practitioner - Ophthalmology 5092758128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

321 N Larchmont Blvd
Suite 700
Los Angeles, CA 90004-6407
Phone (323) 467-7161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
George Yaplee Medical Center Inc. Ophthalmology PastSince May 30, 2017 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1518977685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLORADO AVE",
            "address_2": "APT #516",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043571",
            "telephone_number": "310-828-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N LARCHMONT BLVD",
            "address_2": "SUITE #700",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900046407",
            "telephone_number": "323-467-7161",
            "fax_number": "323-467-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARKAR",
        "first_name": "SUNIL",
        "middle_name": "GOPAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A91354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A91354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.