Individual provider Active NPI

Sunitha Bharadia, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Torrance, CA
National Provider Identifier
1669447355
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A62539 Issued in CA
Practice address
22617 Hawthorne Blvd
Torrance, CA 90505-2510
Phone
(310) 370-4700
Fax
(866) 887-0262
NPI assigned
Feb 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A62539 CA Primary

Addresses

Primary practice location

22617 Hawthorne Blvd
Torrance, CA 90505-2510

Mailing address

24325 Crenshaw Blvd
# 403
Torrance, CA 90505-5349
Phone (310) 529-0687

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
I20050727000495 CA Practitioner - Neurology 8527096080 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Brain MD Inc CurrentSince Jul 1, 2011 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

22617 Hawthorne Blvd
Torrance, CA 90505
Phone (310) 370-4700

24325 Crenshaw Blvd
Torrance, CA 90505
Phone (310) 776-5989

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22617 Hawthorne Blvd
Torrance, CA 90505-2510
Phone (310) 802-6720

Hospital & facility affiliations

  • Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1669447355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24325 CRENSHAW BLVD",
            "address_2": "# 403",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055349",
            "telephone_number": "310-529-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22617 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052510",
            "telephone_number": "310-370-4700",
            "fax_number": "866-887-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARADIA",
        "first_name": "SUNITHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A62539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.