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
- Last updated
- Mar 29, 2021
- 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
1811 Wilshire Blvd
Ste 110
Santa Monica, CA 90403
Phone (310) 453-9010
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477
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.
-
dba Coshocton Regional Medical Center Warsaw Clinic
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint John's Physician Partners
- Specialist
- Santa Monica, CA
- NPI 1770093734
Pediatrics
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.