Active NPI
Khushboo Bhella
- Physician Assistant
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023 - Phone
- (805) 621-7651
- NPI assigned
- Aug 17, 2023
- Last updated
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 63640 | CA | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023
Mailing address
1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1150 W El Camino Real
Mountain View, CA 94040-2518
Phone (650) 988-7667
625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63640 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.T. Still University - College for Healthy Communities | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America- California | Current | Accepting new patients | |
| El Camino Health Medical Group | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
1075 E Betteravia Rd
#201
Santa Maria, CA 93454
Phone (805) 621-7644
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Student in an Organized Health Care Education/Training Program
- Santa Maria, CA
- NPI 1356222020
-
- Emergency Medicine Physician
- King City, CA
- NPI 1821648064
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Geriatric Medicine (Family Medicine) Physician
- Los Gatos, CA
- NPI 1578831764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Natividad Medical Center
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1881477438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1075 E BETTERAVIA RD STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 E BETTERAVIA RD STE 201",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547023",
"telephone_number": "805-621-7651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHELLA",
"first_name": "KHUSHBOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63640",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.