Individual provider Active NPI

Rahul Bhola, M.D.

  • Ophthalmology Physician
  • Orange, CA
National Provider Identifier
1609910033
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C144757 Issued in CA
Practice address
1201 W la Veta Ave
Orange, CA 92868-4203
Phone
(888) 770-2462
Fax
(855) 212-6740
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C144757 CA Primary

Addresses

Primary practice location

1201 W la Veta Ave
Orange, CA 92868-4203

Mailing address

1201 W la Veta Ave
Orange, CA 92868-4203

Other identifiers 1

IdentifierTypeStateIssuer
1609910033MedicaidCA

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
I20171130001744 CA Practitioner - Ophthalmology 4880728757 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C144757CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital of Orange County Ophthalmology CurrentSince Nov 10, 2018 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Sep 30, 2017 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Sep 30, 2017 Accepting new patients
University Medical Center, Inc Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
University of California Irvine Past Accepting new patients
Pediatric Subspecialty Faculty, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

850 Health Sciences Rd
Irvine, CA 92617
Phone (949) 824-0606

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

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

101 The City Dr S
#2
Orange, CA 92868
Phone (263) 954-7800

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

101 The City Dr S
Bldg 30A
Orange, CA 92868

Dept LA 21333
Pasadena, CA 91185

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1609910033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LA VETA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684203",
            "telephone_number": "888-770-2462",
            "fax_number": "855-212-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOLA",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C144757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609910033",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.