Individual provider Active NPI

Mohammad Javaid Bhatti, MD

  • Pediatrics Physician
  • Modesto, CA
National Provider Identifier
1619008661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C50848 Issued in CA
Practice address
1325 Blakely LN
Modesto, CA 95356-8984
Phone
(209) 557-1644
Fax
(209) 557-1685
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C50848 CA Primary

Addresses

Primary practice location

1325 Blakely LN
Modesto, CA 95356-8984

Mailing address

1325 Blakely LN
Modesto, CA 95356-8984
Phone (209) 557-1644

Other names 1

  • Mohammad Javaid Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619008661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 BLAKELY LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568984",
            "telephone_number": "209-557-1644",
            "fax_number": "209-557-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 BLAKELY LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568984",
            "telephone_number": "209-557-1644",
            "fax_number": "209-557-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTI",
        "first_name": "MOHAMMAD",
        "middle_name": "JAVAID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C50848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "JAVAID",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • 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.