Individual provider Active NPI

Narinder Raj Bhullar, M.D

  • Neurology Physician
  • Watsonville, CA
National Provider Identifier
1821020140
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A69029 Issued in CA
Practice address
64 Aspen Way
Ste. 101
Watsonville, CA 95076-3084
Phone
(831) 786-1660
Fax
(831) 786-1663
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A69029 CA Primary

Addresses

Primary practice location

64 Aspen Way
Ste. 101
Watsonville, CA 95076-3084

Mailing address

64 Aspen Way
Ste. 101
Watsonville, CA 95076-3084
Phone (831) 786-1660

Other identifiers 1

IdentifierTypeStateIssuer
00A690290MedicaidCA

Other names 1

  • Raj Sign Bhullar Former name

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
I20070914000199 CA Practitioner - Neurology 6507950011 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69029CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pajaro Valley Neurology Medical Associates Inc. Neurology CurrentSince Jan 1, 2007 Accepting new patients
Salud Para la Gente CurrentSince Aug 1, 2022 Accepting new patients
Salud Para la Gente CurrentSince Aug 1, 2022 Accepting new patients
Salud Para la Gente Current Accepting new patients
Salud Para la Gente Past Accepting new patients

Locations

150 Carnation Dr
Ste 3
Freedom, CA 95019
Phone (831) 761-7955

195 Aviation Way
Ste 200
Watsonville, CA 95076

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588

64 Aspen Way
#101
Watsonville, CA 95076
Phone (831) 786-1660

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1821020140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ASPEN WAY",
            "address_2": "STE. 101",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763084",
            "telephone_number": "831-786-1660",
            "fax_number": "831-786-1663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ASPEN WAY",
            "address_2": "STE. 101",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763084",
            "telephone_number": "831-786-1660",
            "fax_number": "831-786-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "NARINDER",
        "middle_name": "RAJ",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A69029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A690290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJ",
            "last_name": "BHULLAR",
            "middle_name": "SIGN",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.