Vichai Bhoopat, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A25146 Issued in CA

Practice address

3801 Katella Ave Ste 301
Los Alamitos, CA 90720-3373

Phone

(562) 493-4466

Fax

(562) 493-4466

NPI assigned

Jul 21, 2006

Last updated

Dec 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 4, 2016 through Apr 4, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1841211497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13492 GRINNELL CIR",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926831734",
            "telephone_number": "714-897-2735",
            "fax_number": "714-897-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE STE 301",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203373",
            "telephone_number": "562-493-4466",
            "fax_number": "562-493-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOOPAT",
        "first_name": "VICHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A25146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnie Perea Bergula, PAC
• Deborah J Bernal, M.F.T.
• Bernard Azer, DO, Inc.
• Johannes A. Bernbeck, MD
• Samuel S Berro, D.D.S
• Kristin A Biddle, R.D.
• Biogene Diagnostics Inc.
• Biomega Corporation (PSL (Preferred Specialty Laboratory))
• Bizhan Eshaghzadeh&Dalia Niknam DDS PC (Our goal is advanced dental group)
• Elizabeth Black, SLP

• Internal Medicine Physician in Los Alamitos, CA
• Providers in Los Alamitos, 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 Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.