NPIMap

Individual provider Active NPI

Bhupatrai H Desai, M.D.

  • Neurology Physician
  • Upland, CA
National Provider Identifier
1649362633
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A33896 Issued in CA
Practice address
630 N 13TH Ave
Suite B
Upland, CA 91786-4975
Phone
(909) 982-2719
Fax
(909) 946-9931
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A33896 CA Primary

Addresses

Primary practice location

630 N 13TH Ave
Suite B
Upland, CA 91786-4975

Mailing address

630 N 13TH Ave
Suite B
Upland, CA 91786-4975
Phone (909) 982-2719

Other practice location 1

12110 Hadley St Ste A
Whittier, CA 90601-3912
Phone (909) 982-2719

Other identifiers 1

IdentifierTypeStateIssuer
1326202748MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081120000757 CA Practitioner - Neurology 6709946718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurology Group IncGroup PAC ID 1052544152, 19 clinicians

Practice addresses (Care Compare)

2895 N Towne Ave
Pomona, CA 91767-2009
Phone (909) 267-7495

630 N 13TH Ave
Suite B
Upland, CA 91786-4978
Phone (909) 982-2719

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33896CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Dignity Health Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Mukhtair Singh Kundi, M.D., Inc., a Medical Corporation Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

160 E Artesia St
Ste 220
Pomona, CA 91767
Phone (909) 623-3428

2895 N Towne Ave
#1182
Pomona, CA 91767
Phone (909) 267-7495

1310 San Bernardino Rd
Ste 101
Upland, CA 91786
Phone (909) 267-7495

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bhupat.desai.1@29399.direct.athenahealth.com
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 7

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1649362633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N 13TH AVE",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864975",
            "telephone_number": "909-982-2719",
            "fax_number": "909-946-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N 13TH AVE",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864975",
            "telephone_number": "909-982-2719",
            "fax_number": "909-946-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12110 Hadley St Ste A",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906013912",
            "country_code": "US",
            "telephone_number": "909-982-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "BHUPATRAI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A33896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326202748",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.