Shyam Bhaskar, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A74116 Issued in CA

Legal business name

SHYAM BHASKAR, MD INC

Practice address

401 E Maple St
Exeter, CA 93221-1836

Phone

(559) 592-6039

Fax

(559) 635-7106

NPI assigned

Oct 28, 2016

Organization subpart

No

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

Authorized official

Name

Martha Sepeda

Title

Practice Administrator

Phone

(559) 635-7100

Specialties & licenses 1

Addresses

Other names 1

• Shyam Bhaskar Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shyam Bhaskar MD Inc

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1609063429

  O20080422000883

  Same enrollment
• Shyam Bhaskar, M.D. Inc

  • Internal Medicine Physician
  • Hanford, CA
  • NPI 1043676612

  O20080422000883

  Same enrollment
• Shyam Bhaskar, M.D. Inc

  • Primary Care Clinic/Center
  • Delano, CA
  • NPI 1154679447

  O20080422000883

  Same enrollment
• Shyam Bhaskar, M.D. Inc

  • Multi-Specialty Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1598162562

  O20080422000883

  Same enrollment
• Shyam Bhaskar, M.D. Inc

  • Internal Medicine Physician
  • Corcoran, CA
  • NPI 1902204449

  O20080422000883

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Shyam Bhaskar MD Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Shyam Bhaskar MD Inc

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1609063429
  NPD tax ID
• Shyam Bhaskar, M.D. Inc

  • Internal Medicine Physician
  • Hanford, CA
  • NPI 1043676612
  NPD tax ID
• Shyam Bhaskar, M.D. Inc

  • Primary Care Clinic/Center
  • Delano, CA
  • NPI 1154679447
  NPD tax ID

Practitioners 1

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

• Shyam Bhaskar, MD

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1194788158
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1750833463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772631",
            "telephone_number": "559-635-7100",
            "fax_number": "559-635-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MAPLE ST",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932211836",
            "telephone_number": "559-592-6039",
            "fax_number": "559-635-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM BHASKAR, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "SEPEDA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "559-635-7100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A74116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shyam Bhaskar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raymond Michael Scott, CADTP
• Joshua Seaman
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• Sequoia Youth Services
• Veronica Serrano Valencia, ASW
• Maria Ximena Simonuvic, MD
• David Alan Sine, MD
• Kealani Kanehe Sine, M.D.
• Ryan Lee Smith, FNP
• Brittani Snyder, FNP

• Internal Medicine Physician in Exeter, CA
• Providers in Exeter, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.