Individual provider Active NPI

Bhumi Kaushik Patel

  • Physician Assistant
  • Montclair, CA
National Provider Identifier
1841825585
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5037 Saddleback St
Montclair, CA 91763-6539
Phone
(626) 272-8611
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

5037 Saddleback St
Montclair, CA 91763-6539

Mailing address

5037 Saddleback St
Montclair, CA 91763-6539
Phone (626) 272-8611

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510002769 CA Practitioner - Physician Assistant 4587041660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12442 Limonite Ave
Unit 102
Eastvale, CA 91752-2467
Phone (951) 393-3000

1295 Hamner Ave
Suite C
Norco, CA 92860-3161
Phone (951) 272-6500

16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
Phone (909) 434-1150

33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone (909) 797-8900

7777 Milliken Ave
Suite a
Rancho Cucamonga, CA 91730-7489
Phone (909) 466-0909

970 N Mountain Ave
Ontario, CA 91762-2113
Phone (818) 340-9988

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58374CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Jan 25, 2022 Accepting new patients
Southern California Emergency Medicine CurrentSince Jan 25, 2022 Accepting new patients
Southern California Emergency Medicine Past Accepting new patients

Locations

1181 S Mount Vernon Ave
Colton, CA 92324
Phone (909) 639-8800

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1841825585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5037 SADDLEBACK ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917636539",
            "telephone_number": "626-272-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5037 SADDLEBACK ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917636539",
            "telephone_number": "626-272-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHUMI",
        "middle_name": "KAUSHIK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

Verify at the official NPI Registry.