Individual provider Active NPI

Bikash Devaraj, M.D.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1659531333
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A102083 Issued in CA
Practice address
1441 Eastlake Ave
Los Angeles, CA 90033-0804
Phone
(323) 865-3668
Fax
(323) 865-3671
NPI assigned
Jun 16, 2008
Last updated
Apr 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A102083 CA Primary

Addresses

Primary practice location

1441 Eastlake Ave
Los Angeles, CA 90033-0804

Mailing address

200 W Arbor Dr
San Diego, CA 92103-9001
Phone (619) 543-6222

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523001474 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General SurgeryPractitioner - Family Practice 5092944223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: Family Practice, General Surgery
Education
University of California, San Diego School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians
Burbank Occupational Health Center IncGroup PAC ID 2163675174, 6 clinicians

Practice addresses (Care Compare)

29100 Portola Pkwy
Suite B
Lake Forest, CA 92630-8713
Phone (844) 254-6382

3413 W Pacific Ave
Suite 102
Burbank, CA 91505-1555
Phone (818) 953-4408

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102083CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
HMTS, Inc CurrentSince Sep 8, 2025 Accepting new patients
Portola Medical Services PC CurrentSince Nov 4, 2022 Accepting new patients
Burbank Occupational Health Center Inc CurrentSince Apr 18, 2016 Accepting new patients
Hoag Clinic PastSince Dec 16, 2019 Accepting new patients

Locations

3413 W Pacific Ave
Ste 102
Burbank, CA 91505
Phone (818) 953-4408

6876 Katella Ave
Cypress, CA 90630
Phone (714) 903-8900

9025 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (844) 254-6382

25461 Rancho Niguel Rd
Laguna Niguel, CA 92677
Phone (844) 254-6382

29100 Portola Pkwy
Ste B
Lake Forest, CA 92630
Phone (844) 254-6382

24060 Camino del Avion
Ste A
Monarch Beach, CA 92629
Phone (949) 248-8900

1511 E Katella Ave
Orange, CA 92867
Phone (844) 254-6382

20635 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 581-9497

Interoperability endpoints

  • Direct secure messaging: bikash.devaraj.1@15000.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1659531333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039001",
            "telephone_number": "619-543-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 EASTLAKE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900330804",
            "telephone_number": "323-865-3668",
            "fax_number": "323-865-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARAJ",
        "first_name": "BIKASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A102083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.