NPIMap

Individual provider Active NPI

Ameeta Kharbanda, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Cupertino, CA
National Provider Identifier
1568616365
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A109134 Issued in CA
Practice address
21630 Edward Way
Cupertino, CA 95014-4786
Phone
(408) 571-8128
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A109134 CA Primary
Pulmonary Disease Physician 207RP1001X A109134 CA

Addresses

Primary practice location

21630 Edward Way
Cupertino, CA 95014-4786

Mailing address

PO Box 356
Cupertino, CA 95015-0356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130311000084 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1355596719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southbay Critical Care a Medical PartnershipGroup PAC ID 4284005216, 13 clinicians

Practice addresses (Care Compare)

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (949) 829-8299

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Jun 1, 2020 Accepting new patients
Southbay Critical Care a Medical Partnership Critical Care Medicine CurrentSince Feb 1, 2023 Accepting new patients
Washington Township Medical Foundation CurrentSince Sep 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of California, Inc CurrentSince Sep 15, 2014 Accepting new patients
Washington Township Medical Foundation Critical Care Medicine CurrentSince Sep 1, 2016 Accepting new patients
Dignity Health Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
County of Santa Clara Past Accepting new patients
Cep America - Intensivists PC Critical Care Medicine Past Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients
Upmc Washington Past Accepting new patients
El-Bershawi Medical Corp Critical Care Medicine Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1568616365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950150356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 EDWARD WAY",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144786",
            "telephone_number": "408-571-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARBANDA",
        "first_name": "AMEETA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A109134",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A109134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.