Individual provider Active NPI

Bhavani Naginani, MD

  • Family Medicine Physician
  • Bullhead City, AZ
National Provider Identifier
1669702155
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43036 Issued in AZ
Practice address
2585 Miracle Mile Ste 116
Bullhead City, AZ 86442-7562
Phone
(928) 704-1221
Fax
(928) 704-1236
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17387 NV
Family Medicine Physician 207Q00000X 01067230A IN
Family Medicine Physician 207Q00000X 43036 AZ Primary

Addresses

Primary practice location

2585 Miracle Mile Ste 116
Bullhead City, AZ 86442-7562

Mailing address

PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 522-9879

Other practice location 1

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

Other practice location 2

22437 Walnut Cir N
Cupertino, CA 95014-2739
Phone (408) 464-6032

Other names 1

  • Bhavani Vunnam Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100922000305 AZ Practitioner - Family Practice 4587709571 Reassigns benefits to 1 organization
I20171019000816 NV Practitioner - Family Practice 4587709571 Reassigns benefits to 2 organizations
I20251015003346 CA Practitioner - Family Practice 4587709571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians
Nayef T Resk MD IncGroup PAC ID 9931322708, 6 clinicians

Practice addresses (Care Compare)

2155 Iron Point Rd
Folsom, CA 95630-8707
Phone (916) 817-5000

2585 Miracle Mile
Bullhead City, AZ 86442-7522

3003 Hwy 95
Suite 35
Bullhead City, AZ 86442-7896
Phone (928) 704-0400

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
01067230AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Sep 21, 2017 Accepting new patients
North Country Healthcare, Inc. CurrentSince Jan 1, 2021 Accepting new patients
North Country Healthcare, Inc. Family Medicine Current Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 13, 2025 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 16, 2019 Accepting new patients
Nayef T. Resk MD Inc. CurrentSince Jun 2, 2024 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Oct 13, 2025 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
North Country Healthcare Inc PastSince Dec 1, 2020 Accepting new patients
Chandler Urgent Care LLC Past Accepting new patients

Locations

2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 704-1221

3003 Highway 95
Ste 35
Bullhead City, AZ 86442
Phone (928) 704-0400

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2155 Iron Point Rd
Folsom, CA 95630
Phone (916) 817-5000

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1669702155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3630",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033630",
            "telephone_number": "928-522-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 MIRACLE MILE STE 116",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427562",
            "telephone_number": "928-704-1221",
            "fax_number": "928-704-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022329",
            "country_code": "US",
            "telephone_number": "702-383-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22437 Walnut Cir N",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950142739",
            "country_code": "US",
            "telephone_number": "408-464-6032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGINANI",
        "first_name": "BHAVANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "17387",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01067230A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "43036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHAVANI",
            "last_name": "VUNNAM",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.