Individual provider Active NPI

Bhanji D. Kundaria, M.D.

  • Specialist
  • Santa Maria, CA
National Provider Identifier
1619906872
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A35703 Issued in CA
Practice address
1505 Shepard Dr Ste 106
Santa Maria, CA 93454-7016
Phone
(805) 922-6616
Fax
(805) 928-7243
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A35703 CA Primary

Addresses

Primary practice location

1505 Shepard Dr Ste 106
Santa Maria, CA 93454-7016

Mailing address

1505 Shepard Dr Ste 106
Santa Maria, CA 93454-7016
Phone (805) 922-6616

Other identifiers 1

IdentifierTypeStateIssuer
00A357030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SC, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080605000395 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3779653555 Reassigns benefits to 1 organization
I20200211002412 SC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3779653555 Reassigns benefits to 3 organizations
I20200522001498 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 3779653555 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35703CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Loris Seacoast Hospital CurrentSince Nov 30, 2019 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca CurrentSince May 14, 2018 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Mar 1, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Nov 23, 2019 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Nov 30, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Mar 1, 2020 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Nov 23, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jun 22, 2020 Accepting new patients
Regents of the Univ of Ca CurrentSince May 14, 2018 Accepting new patients

Locations

4501 X St
Sacramento, CA 95817
Phone (916) 734-5959

1021 Morehead Medical Dr
Ste A
Charlotte, NC 28204
Phone (704) 355-2884

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

7666 Charlotte Hwy
#200A
Indian Land, SC 29707
Phone (704) 302-9600

3980 Highway 9 E
Ste 300
Little River, SC 29566
Phone (843) 366-3891

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

1656 Riverchase Blvd
Ste 1400
Rock Hill, SC 29732
Phone (803) 329-9088

Interoperability endpoints

  • Direct secure messaging: bkundaria536396@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1619906872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-922-6616",
            "fax_number": "805-928-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR STE 106",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-922-6616",
            "fax_number": "805-928-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDARIA",
        "first_name": "BHANJI",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A35703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A357030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.