Individual provider Active NPI

Usha Dhar, M.D.

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1699886846
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C42012 Issued in CA
Practice address
12665 Garden Grove Blvd
Suite # 614
Garden Grove, CA 92843-1901
Phone
(714) 636-7133
Fax
(714) 636-6940
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C42012 CA Primary

Addresses

Primary practice location

12665 Garden Grove Blvd
Suite # 614
Garden Grove, CA 92843-1901

Mailing address

12665 Garden Grove Blvd
Suite # 614
Garden Grove, CA 92843-1901
Phone (714) 636-7133

Other identifiers 1

IdentifierTypeStateIssuer
GR0088610MedicaidCA

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
I20101202000898 CA Practitioner - Family PracticePractitioner - Cardiac Surgery 8325235310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naveen Dhar MD IncGroup PAC ID 2163459678, 2 clinicians

Practice addresses (Care Compare)

12665 Garden Grove Blvd
Suite 614
Garden Grove, CA 92843-1920
Phone (714) 530-5070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42012CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naveen Dhar, M.D., Inc Family Medicine CurrentSince Jan 10, 2000 Accepting new patients
Sdi Labs, Inc PastSince Oct 20, 2019 Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160

12665 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5302

12665 Garden Grove Blvd
Ste 614
Garden Grove, CA 92843
Phone (714) 530-5070

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699886846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE # 614",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-636-7133",
            "fax_number": "714-636-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE # 614",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-636-7133",
            "fax_number": "714-636-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAR",
        "first_name": "USHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C42012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0088610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.