Active NPI
Kavitha Reddy Bhatia, M.D.
- Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A90588
- Practice address
- 201 Avondale Ave
Los Angeles, CA 90049-3601 - Phone
- (310) 210-1302
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A90588 | CA | Primary |
Addresses
Primary practice location
201 Avondale Ave
Los Angeles, CA 90049-3601
Mailing address
1811 Wilshire Blvd Ste 110
Santa Monica, CA 90403-5626
Phone (310) 453-9010
Other practice location 1
1811 Wilshire Blvd Ste 110
Santa Monica, CA 90403-5626
Phone (310) 453-9010
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbhatia473406@oc.providencedirect.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90588 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Saint Johns Medical Foundation | Pediatrics | Current | Accepting new patients |
Locations
12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
1811 Wilshire Blvd
Ste 110
Santa Monica, CA 90403
Phone (310) 453-9010
Interoperability endpoints
- kbhatia473406@oc.providencedirect.org
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Coshocton Regional Medical Center | Hospital | Corporate Director | Oct 31, 2016 |
| Coshocton Regional Medical Center Warsaw Clinic | Rural health clinic | Corporate Director | Oct 31, 2016 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Warsaw, OH
- NPI 1497483127
Corporate Director
-
- General Acute Care Hospital
- Coshocton, OH
- NPI 1013468172
Corporate Director
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1609810357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 WILSHIRE BLVD STE 110",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035626",
"telephone_number": "310-453-9010",
"fax_number": "310-828-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 AVONDALE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900493601",
"telephone_number": "310-210-1302"
}
],
"practiceLocations": [
{
"address_1": "1811 Wilshire Blvd Ste 110",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904035626",
"country_code": "US",
"telephone_number": "310-453-9010",
"fax_number": "310-828-3661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BHATIA",
"first_name": "KAVITHA",
"middle_name": "REDDY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A90588",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbhatia473406@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1811 Wilshire Blvd Ste 110",
"city": "Santa Monica",
"state": "CA",
"country_code": "US",
"postal_code": "904035626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.