NPIMap

Individual provider Active NPI

Zahida R Bhutto, MD

  • Cardiovascular Disease Physician
  • Covina, CA
National Provider Identifier
1790895050
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A45139 Issued in CA
Practice address
315 N Third Ave
Suite 206
Covina, CA 91723-1917
Phone
(626) 915-4400
Fax
(626) 915-4411
NPI assigned
Aug 30, 2006
Last updated
Feb 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A45139 CA Primary

Addresses

Primary practice location

315 N Third Ave
Suite 206
Covina, CA 91723-1917

Mailing address

315 N Third Ave
Suite 206
Covina, CA 91723-1917
Phone (626) 915-4400

Other identifiers 2

IdentifierTypeStateIssuer
00A451391MedicaidCA
00A451390OtherCABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000660 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012184997 Practice locations: Covina, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 N 4TH Ave
Covina, CA 91723-1835
Phone (626) 915-4400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45139CAMDGeneral Practice Dentistry
A45139CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Health Medical Center Past Accepting new patients
Andre Andresian,M.D., F.a.C.C. Cardiovascular Disease Past Accepting new patients
Anthony S. Oh, M.D., a Medical Corporation PastSince Sep 15, 2009 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1790895050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N THIRD AVE",
            "address_2": "SUITE 206",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231917",
            "telephone_number": "626-915-4400",
            "fax_number": "626-915-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N THIRD AVE",
            "address_2": "SUITE 206",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231917",
            "telephone_number": "626-915-4400",
            "fax_number": "626-915-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHUTTO",
        "first_name": "ZAHIDA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A45139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A451391",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00A451390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.