Organization Active NPI

Mukesh Bhogilal Suthar MD Inc

  • Ophthalmology Physician
  • San Bernardino, CA
National Provider Identifier
1851044366
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MUKESH BHOGILAL SUTHAR MD INC
Doing business as
Kascius Eyecare
Practice address
965 S E St Ste E
San Bernardino, CA 92408-1940
Phone
(909) 889-5669
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Mukesh B. Suthar, MDNPI 1740338607
Title
Ceo
Phone
(909) 660-3003

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

965 S E St Ste E
San Bernardino, CA 92408-1940

Mailing address

10808 Foothill Blvd Ste 160-203
Rancho Cucamonga, CA 91730-3889
Phone (909) 889-5669

Other names 1

  • Kascius Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

965 S E St
Ste E
San Bernardino, CA 92408
Phone (909) 889-5669

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1851044366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD STE 160-203",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889",
            "telephone_number": "909-889-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S E ST STE E",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081940",
            "telephone_number": "909-889-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKESH BHOGILAL SUTHAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "SUTHAR",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-660-3003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kascius Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.