Shyam Bhaskar, M.D. Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHYAM BHASKAR, M.D. INC

Practice address

1001 Van Dorsten Ave
Corcoran, CA 93212-2321

Phone

(559) 992-2337

NPI assigned

Dec 16, 2014

Last updated

Dec 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Martha Sepeda

Title

Practice Manager

Phone

(559) 635-7100

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shyam Bhaskar MD Inc

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1609063429

  O20080422000883

  Same enrollment
• Shyam Bhaskar, M.D. Inc

  • Internal Medicine Physician
  • Hanford, CA
  • NPI 1043676612

  O20080422000883

  Same enrollment
• Shyam Bhaskar, M.D. Inc

  • Primary Care Clinic/Center
  • Delano, CA
  • NPI 1154679447

  O20080422000883

  Same enrollment
• Shyam Bhaskar, M.D. Inc

  • Multi-Specialty Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1598162562

  O20080422000883

  Same enrollment
• Shyam Bhaskar, MD Inc

  dba Shyam Bhaskar

  • Internal Medicine Physician
  • Exeter, CA
  • NPI 1750833463

  O20080422000883

  Same enrollment

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Koneechia Charmaine Edwards, NP

  • Nurse Practitioner
  • Hanford, CA
  • NPI 1275909525
  NPD
• Harish G Shah, M.D.

  • Family Medicine Physician
  • Tulare, CA
  • NPI 1649264060

  Internal Medicine

  NPD
• Udayan Kandarp Shah, MD

  • Internal Medicine Physician
  • Visalia, CA
  • NPI 1942629423
  NPD
• Michael Solis, MD

  • Emergency Medicine Physician
  • Visalia, CA
  • NPI 1265475297
  NPD
• Frederick Karlo Tirona Sordilla, FNP-C

  • Family Nurse Practitioner
  • Visalia, CA
  • NPI 1184314858
  NPD

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1902204449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772631",
            "telephone_number": "559-635-7100",
            "fax_number": "559-635-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VAN DORSTEN AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122321",
            "telephone_number": "559-992-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHYAM BHASKAR, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "SEPEDA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "559-635-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Carey Sartuche
• Sav-on Drug Stores Inc (Corcoran Drug Store)
• Casey Schofield
• Russell Charles Serda, PSYD
• Melissa Renee Sheffield, PSY.D.
• Getsemani Silva Diaz
• Kaitlyn J Silva Wood, PSYD
• Anita Maria Solis, SCHOOL NURSE
• Tiffany Jean Sparks-Mendoza, LCSW
• Geraldine M Stearns

• Internal Medicine Physician in Corcoran, CA
• Providers in Corcoran, 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 16, 2014; 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.

Verify at the official NPI Registry.