Kawaljeet K Bhatia, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

A42050 Issued in CA

Practice address

624 East 10TH St
Suite E PMB 624
Gilroy, CA 95020

Phone

(408) 848-5522

Fax

(408) 848-2369

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598834517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7888 WREN AVE STE C137",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204965",
            "telephone_number": "408-848-5522",
            "fax_number": "408-848-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 EAST 10TH ST",
            "address_2": "SUITE E PMB 624",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-848-5522",
            "fax_number": "408-848-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATIA",
        "first_name": "KAWALJEET",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A42050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A420500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Carolina Berrios Guerrero
• Kari Anne Bertrand, M.D.
• Joy Ann Bess
• Lauren Felice Bevilacqua, MT-BC
• Bindu Bhakta, MFT
• Moeen Ahmad Bhatti, M.D.
• Meng Bi
• Patricia Biddle, MSN, FNP-C, RN, CEN
• Lisa Bidstrup
• Michelle Bigaut, M.S., OTR/L

• Pediatric Adolescent Medicine Physician in Gilroy, CA
• Providers in Gilroy, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.