Individual provider Active NPI

Nitin Bhasin, M.D.

  • Nephrology Physician
  • San Dimas, CA
National Provider Identifier
1669790838
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A109234 Issued in CA
Practice address
1335 Cypress Street,
Suite 205
San Dimas, CA 91773-3538
Phone
(909) 542-2777
Fax
(909) 394-1800
NPI assigned
May 12, 2010
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A109234 CA
Nephrology Physician 207RN0300X A109234 CA Primary

Addresses

Primary practice location

1335 Cypress Street,
Suite 205
San Dimas, CA 91773-3538

Mailing address

1335 Cypress Street,
Suite 205
San Dimas, CA 91773-3538
Phone (909) 542-2777

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
I20100920001142 CA Practitioner - NephrologyPractitioner - Internal Medicine 3971628470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
California Kidney SpecialistsGroup PAC ID 0345232096, 16 clinicians

Practice addresses (Care Compare)

1335 Cypress St
Suite 205
San Dimas, CA 91773-3538
Phone 90954227772770

315 N 3Rd Ave
Suite 104
Covina, CA 91723-1901
Phone (626) 332-2777

901 San Bernardino Rd
Suite 104
Upland, CA 91786-4993
Phone (909) 542-2779

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109234CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Kidney Specialists Internal Medicine CurrentSince Aug 20, 2014 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Jun 19, 2015 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Physicians of Southern California Inc Internal Medicine PastSince Mar 18, 2022 Accepting new patients

Locations

315 N 3rd Ave
Ste 104
Covina, CA 91723
Phone (626) 331-0133

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

717 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 327-9805

1304 W Holt Blvd
Ste A
Ontario, CA 91762
Phone (626) 859-2249

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

3235 E Colorado Blvd
Ste 102
Pasadena, CA 91107
Phone (626) 859-2249

6850 Brockton Ave
Ste 102
Riverside, CA 92506
Phone (626) 859-2249

9380 Magnolia Ave
Riverside, CA 92503
Phone (951) 373-5620

1500 N Waterman Ave
#B
Sn Bernrdno, CA 92404
Phone (909) 381-1595

399 E Highland Ave
Ste 227
Sn Bernrdno, CA 92404
Phone (909) 381-1595

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5192cc27-2764-47df-a8de-8ad1cf29ade6/
  • Direct secure messaging: nbhasin8202@cityofhope.direct-ci.com
  • Direct secure messaging: nitin.bhasin@californiakidney.cernerdirect.com

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1669790838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS STREET,",
            "address_2": "SUITE 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733538",
            "telephone_number": "909-542-2777",
            "fax_number": "909-394-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CYPRESS STREET,",
            "address_2": "SUITE 205",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733538",
            "telephone_number": "909-542-2777",
            "fax_number": "909-394-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASIN",
        "first_name": "NITIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-12",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109234",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A109234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

Verify at the official NPI Registry.