NPIMap

Individual provider Active NPI

Tejal S Brahmbhatt, MD

  • Surgical Critical Care Physician
  • Los Angeles, CA
National Provider Identifier
1619902129
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
C192824 Issued in CA
Practice address
8635 W 3Rd St Ste 770
Los Angeles, CA 90048-6108
Phone
(310) 423-8350
Fax
(310) 423-8351
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 261360 MA
Surgical Critical Care Physician 2086S0102X C192824 CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 770
Los Angeles, CA 90048-6108

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Phone (617) 414-5405 ext. 2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150611000704 MA Practitioner - General SurgeryPractitioner - Other (Physician) 7517107360 Reassigns benefits to 1 organization
I20240126004146 CA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 7517107360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

8636 W 3Rd St
Los Angeles, CA 90048-3323
Phone (310) 423-5000

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C192824CAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Center CurrentSince Jan 15, 2024 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jan 15, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
University of Penn-PA Trauma Surgery Past Accepting new patients
Presbyterian Medical Center of the University of Pennsylvania Health S Past Accepting new patients
St Elizabeth Medical Center Past Accepting new patients

Locations

8636 W 3rd St
Los Angeles, CA 90048

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8635 W 3rd St
Ste 770
West Hollywood, CA 90048
Phone (310) 423-8350

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

11 Nevins St
Ste 202
Brighton, MA 02135
Phone (617) 254-9991

Interoperability endpoints

  • Direct secure messaging: tbrahmbhatt451912@direct.cshs.org

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1619902129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 770",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486108",
            "telephone_number": "310-423-8350",
            "fax_number": "310-423-8351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Harrison Ave",
            "address_2": "DOB 503",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182371",
            "country_code": "US",
            "telephone_number": "617-414-5405 x2",
            "fax_number": "617-414-6031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAHMBHATT",
        "first_name": "TEJAL",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MA",
            "license": "261360",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "C192824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.