Individual provider Active NPI

Surya Singh Bhatti, DC

  • Chiropractor
  • Los Gatos, CA
National Provider Identifier
1639761695
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36012 Issued in CA
Practice address
718 University Ave Ste 110
Los Gatos, CA 95032-7608
Phone
(408) 960-9909
NPI assigned
Feb 10, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36012 CA Primary

Addresses

Primary practice location

718 University Ave Ste 110
Los Gatos, CA 95032-7608

Mailing address

718 University Ave Ste 110
Los Gatos, CA 95032-7608
Phone (408) 960-9909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213001253 CA Practitioner - Chiropractic 0345770830 Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14125 Capri Dr
Suite 1a
Los Gatos, CA 95032-1500

14125 Capri Dr
Suite 1a
Los Gatos, CA 95032-1541
Phone (408) 608-7455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36012CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Marianne Nielsen Chiropractic Neurology Inc. PastSince Aug 29, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1639761695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 UNIVERSITY AVE STE 110",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327608",
            "telephone_number": "408-960-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 UNIVERSITY AVE STE 110",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950327608",
            "telephone_number": "408-960-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTI",
        "first_name": "SURYA",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.