Bharathi Rasagolla, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95016061 Issued in CA

Practice address

4902 Irvine Center Dr Ste 105
Irvine, CA 92604-3334

Phone

(949) 651-9671

NPI assigned

Mar 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mark H Mazur MD and Barry Statner MD a Professional CorporationGroup PAC ID 1254373806, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mark H Mazur MD & Barry Statner MD a Professional Corporation

  • Infectious Disease Physician
  • Thousand Oaks, CA
  • NPI 1376631341
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1649855727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 LOST HLS",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180823",
            "telephone_number": "714-350-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR STE 105",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043334",
            "telephone_number": "949-651-9671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17742 Beach Blvd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926476835",
            "country_code": "US",
            "telephone_number": "714-375-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASAGOLLA",
        "first_name": "BHARATHI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95016061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hellohealth.com",
            "affiliation": "N",
            "endpointDescription": "hellohealth.com",
            "address_1": "4902 Irvine Center Dr Ste 105",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926043334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Rankin
• Hindu Malyadri Rao, PHARMD
• Ramya Krishna Rao, MD
• Rafidain Raouf, DDS
• Kathleen W Rapp, SLP
• Rasam M Hosseinian MD Inc
• Melina Rascon
• Ahsan Rashid, MD
• Raquel O Rasmussen
• Margaret Leila Rasouli, M.D.

• Family Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.