Individual provider Active NPI

Bhasker Venukonda Venkateswaralu, M.D

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1538180880
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A043925 Issued in CA
Practice address
1025 W Olympic Blvd
Los Angeles, CA 90015-1329
Phone
(213) 861-5985
NPI assigned
Jul 22, 2006
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A043925 CA Primary

Addresses

Primary practice location

1025 W Olympic Blvd
Los Angeles, CA 90015-1329

Mailing address

1741 Amherst Ave
Los Angeles, CA 90025-3617
Phone (310) 820-7805

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
I20121016000272 CA Practitioner - Internal Medicine 5799935466 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A043925CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Pacific Health Care Venture, Inc. CurrentSince Apr 29, 2018 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Apr 29, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients

Locations

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1538180880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 AMHERST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253617",
            "telephone_number": "310-820-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151329",
            "telephone_number": "213-861-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENKATESWARALU",
        "first_name": "BHASKER",
        "middle_name": "VENUKONDA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A043925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.