Individual provider Active NPI

Heeren Pravinkumar Bhakta

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1780398743
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300648 Issued in CA
Practice address
230 California St Ste 400
San Francisco, CA 94111-4378
Phone
(415) 989-0955
NPI assigned
Jan 13, 2023
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300648 CA Primary

Addresses

Primary practice location

230 California St Ste 400
San Francisco, CA 94111-4378

Mailing address

16588 Pathfinder Ave
Chino, CA 91708-9498
Phone (714) 357-6760

Other practice location 1

16588 Pathfinder Ave
Chino, CA 91708-9498
Phone (714) 357-6760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230829004348 CA Practitioner - Physical Therapist in Private Practice 6608239264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camarillo Physical Therapy IncGroup PAC ID 3274076989, 8 clinicians

Practice addresses (Care Compare)

4000 Calle Tecate
Suite 117
Camarillo, CA 93012-5285
Phone (805) 383-0470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Physical Therapist Current Accepting new patients
Orthopaedic and Neurological Rehab Inc Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Select CS Physical Therapy, P.C. CurrentSince Jul 3, 2023 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist CurrentSince Jul 3, 2023 Accepting new patients
Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc CurrentSince Mar 18, 2024 Accepting new patients
Camarillo Physical Therapy, Inc Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients
Camarillo Physical Therapy Physical Therapist PastSince Oct 21, 2024 Accepting new patients

Locations

4000 Calle Tecate
Ste 117
Camarillo, CA 93012
Phone (805) 383-0470

2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017

9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018

3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128

177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366

935 E Ridgecrest Blvd
Ridgecrest, CA 93555
Phone (760) 371-1411

2001 Wilshire Blvd
Ste 310
Santa Monica, CA 90403
Phone (310) 829-3320

3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022

3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 488-6340

850 Hampshire Rd
Ste Ab
Westlake Village, CA 91361
Phone (805) 383-0470

8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252

Organizations & group practices 8

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1780398743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16588 PATHFINDER AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917089498",
            "telephone_number": "714-357-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CALIFORNIA ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941114378",
            "telephone_number": "415-989-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16588 Pathfinder Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917089498",
            "country_code": "US",
            "telephone_number": "714-357-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "HEEREN",
        "middle_name": "PRAVINKUMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.