Individual provider Active NPI

Anmol Bhatia

  • Psychiatry Physician
  • Madera, CA
National Provider Identifier
1558998385
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A19506 Issued in CA
Practice address
40886 Goodwin Way
Madera, CA 93636-9900
Phone
(559) 603-6000
NPI assigned
Mar 23, 2020
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A19506 CA Primary

Addresses

Primary practice location

40886 Goodwin Way
Madera, CA 93636-9900

Mailing address

40886 Goodwin Way
Madera, CA 93636-9900

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
I20221011000838 CA Practitioner - Psychiatry 9830575117 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19506CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmol Bhatia D.O., Inc. Psychiatry CurrentSince Feb 17, 2025 Accepting new patients

Locations

40886 Goodwin Way
Madera, CA 93636
Phone (559) 603-6000

725 Riverpoint Ct
Ste 120
West Sacramento, CA 95605
Phone (559) 905-9062

Organizations & group practices 1

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1558998385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40886 GOODWIN WAY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40886 GOODWIN WAY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369900",
            "telephone_number": "559-603-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "ANMOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A19506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.