Bharti Jain MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C042548 Issued in CA

Legal business name

BHARTI JAIN MD INC

Practice address

1800 Medical Center Dr Ste 200
San Bernardino, CA 92411-1242

Phone

(909) 887-3432

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Patrice Diefenbach

Title

Billing Manager

Phone

(909) 425-8460

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ifeanyi Ugochuku, M.D.

  • Surgery Physician
  • San Bernardino, CA
  • NPI 1558393017
  NPD (past)

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1689797284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111242",
            "telephone_number": "909-887-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924111242",
            "telephone_number": "909-887-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARTI JAIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "DIEFENBACH",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "909-425-8460"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "C042548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C425480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Merrill Beutler, MD
• Beverly Radiology Medical Group III
• Natasha Bhakta
• Shivam Bhakta
• Parag Bharadwaj, MD
• Mrunal Bhatt, M.D.
• Arlin Bhattacharjee
• Nonika Bhatti
• Adicherla Bhavana
• Grace A Bickham, PHD

• Surgery Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.