Active NPI
Nutan Bhaskar MD Inc
- Pulmonary Disease Physician
- Glendora, CA
National Provider Identifier
1821795329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- NUTAN BHASKAR MD INC
- Practice address
- 353 W Foothill Blvd
Glendora, CA 91741-5309 - Phone
- (626) 914-5219
- NPI assigned
- Feb 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nutan Bhaskar, MD
- Title
- Ceo
- Phone
- (626) 914-5219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
353 W Foothill Blvd
Glendora, CA 91741-5309
Mailing address
154A W Foothill Blvd # 281
Upland, CA 91786-3847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
415 W Carroll Ave
Ste 100
Glendora, CA 91741
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Glendora, CA
- NPI 1922269604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730937600000",
"number": "1821795329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154A W FOOTHILL BLVD # 281",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 W FOOTHILL BLVD",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917415309",
"telephone_number": "626-914-5219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTAN BHASKAR MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-14",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A",
"authorized_official_last_name": "BHASKAR",
"authorized_official_first_name": "NUTAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-914-5219",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.