Active NPI
Bikash Devaraj, M.D.
- Surgery Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A102083
- 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, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- University of California, San Diego School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102083 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HMTS, Inc | Current | Accepting new patients | |
| Portola Medical Services PC | Current | Accepting new patients | |
| Burbank Occupational Health Center Inc | Current | Accepting new patients | |
| Hoag Clinic | Past | 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
- bikash.devaraj.1@15000.direct.athenahealth.com
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- 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.
-
dba Burbank Urgent Care
- Urgent Care Clinic/Center
- Burbank, CA
- NPI 1962788463
-
dba Clineva Urgent Care
- Urgent Care Clinic/Center
- Lake Forest, CA
- NPI 1871962076
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.