Individual provider Active NPI

Neha Bhansali, M.D

  • Internal Medicine Physician
  • Lakewood, CA
National Provider Identifier
1700923893
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A96139 Issued in CA
Practice address
3650 South St Ste 403
Lakewood, CA 90712-1504
Phone
(562) 531-0377
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 12

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Partners, a Medical Group 236 clinicians

Practice addresses (Care Compare)

3650 E S St
Suite 403
Lakewood, CA 90712-1504
Phone (562) 531-0377

Hospital & facility affiliations

  • Highmark Home Health, Inc Home health agency, West Covina, CA, CCN 058261
  • Lorian Health Home health agency, Long Beach, CA, CCN 058210
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

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
I20080205000669 CA Practitioner - Internal Medicine 5890878417 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A96139CAMDInternal Medicine Physician
25MA07963800NJMDInternal Medicine Physician

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
Prohealth Partners a Medical Group Inc Internal Medicine Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine CurrentSince Aug 8, 2018 Accepting new patients
Trucare Medical Corporation Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Current Accepting new patients
Prohealth Partners, a Medical Group, Inc Internal Medicine CurrentSince Aug 8, 2018 Accepting new patients
Careconnectmd Ca PC CurrentSince Jun 24, 2022 Accepting new patients
Prohealth Partners a Medical Group Inc Internal Medicine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

12131 Carson St
Hawaiian Gardens, CA 90716
Phone (562) 809-0299

3300 E South St
Ste 205
Lakewood, CA 90805
Phone (562) 531-0377

3650 South St
Ste 403
Lakewood, CA 90712
Phone (562) 424-8422

300 Redondo Ave
Long Beach, CA 90814
Phone (562) 433-7496

1045 Atlantic Ave
Ste 812
Long Beach, CA 90813
Phone (562) 435-5353

300 Redondo Ave
Ste B
Long Beach, CA 90814
Phone (562) 433-7496

5865 E Naples Plz
Long Beach, CA 90803
Phone (310) 541-7800

3801 Katella Ave
Ste 330
Los Alamitos, CA 90720
Phone (562) 594-9546

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

1234 W Chapman Ave
Ste 101
Orange, CA 92868
Phone (714) 223-0883

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07963800 NJ
Internal Medicine Physician 207R00000X A96139 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

3650 South St Ste 403
Lakewood, CA 90712-1504

Mailing address

3650 South St Ste 403
Lakewood, CA 90712-1504
Phone (562) 531-0377

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1700923893MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2023.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1700923893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 403",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121504",
            "telephone_number": "562-531-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 403",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121504",
            "telephone_number": "562-531-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANSALI",
        "first_name": "NEHA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07963800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700923893",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.