Mahesh Bhuta MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

A29467 Issued in CA

Legal business name

MAHESH BHUTA MD

Practice address

9711 Venice Blvd
Los Angeles, CA 90034-5109

Phone

(310) 559-9884

NPI assigned

May 11, 2015

Last updated

May 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mahesh Bhuta, MDNPI 1649305475

Title

Resident/Owner

Phone

(310) 559-9884

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Mahesh V Bhuta, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1649305475
  NPD (past) Authorized official

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1528446580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9711 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345109",
            "telephone_number": "310-559-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9711 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345109",
            "telephone_number": "310-559-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHESH BHUTA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "BHUTA",
        "authorized_official_first_name": "MAHESH",
        "authorized_official_title_or_position": "RESIDENT/OWNER",
        "authorized_official_telephone_number": "310-559-9884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A29467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER - A29467",
            "identifier": "A29467",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Internal Medicine) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.