Individual provider Active NPI

Bhavraj Khalsa, M.D.

  • Vascular & Interventional Radiology Physician
  • Orange, CA
National Provider Identifier
1588928378
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A130823 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868
Phone
(714) 456-5033
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X A130823 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868

Mailing address

101 The City Dr S
Orange, CA 92868-3201

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
I20190116000580 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4183925357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of California, Irvine, California College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Skin and Vein InstituteGroup PAC ID 9335482835, 16 clinicians

Practice addresses (Care Compare)

1101 N Sepulveda Blvd
Suite 100
Manhattan Beach, CA 90266-5962
Phone (310) 546-7780

3661 Torrance Blvd
Suite 104
Torrance, CA 90503-4898
Phone (310) 370-5670

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.81 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

Merit-based Incentive Payment System (MIPS)

Final score
97.59 of 100Reported as group
Quality
95.18
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130823CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular and Interventional Specialists of Orange County, Inc. Vascular & Interventional Radiology CurrentSince Sep 1, 2019 Accepting new patients
UC Regents CurrentSince Jan 1, 2019 Accepting new patients
Ocean Skin and Vein Institute CurrentSince Jul 1, 2019 Accepting new patients
UC Regents CurrentSince Jan 1, 2019 Accepting new patients

Locations

1101 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 370-5670

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1010 W La Veta Ave
Ste 320
Orange, CA 92868
Phone (714) 560-4450

3661 Torrance Blvd
Ste 104
Torrance, CA 90503
Phone (310) 370-5670

4201 Torrance Blvd
Ste 100
Torrance, CA 90503

13420 Newport Ave
Ste G
Tustin, CA 92780
Phone (714) 731-0061

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.

Hospital & facility affiliations 1

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": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1588928378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "BHAVRAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A130823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.