Active NPI
Kunal Krishan Bhan, DPM
- Foot & Ankle Surgery Podiatrist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E6076
- Practice address
- 1325 N Anaheim Blvd Ste 200
Anaheim, CA 92801-1202 - Phone
- (888) 499-9303
- NPI assigned
- Jun 5, 2020
- Last updated
- Apr 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 5951001391 | MI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301386 | VA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E6076 | CA | Primary |
Addresses
Primary practice location
1325 N Anaheim Blvd Ste 200
Anaheim, CA 92801-1202
Mailing address
10411 Byrne Ave
Cupertino, CA 95014-2813
Phone (408) 431-9993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bear Valley Community Health Care District
Practice addresses (Care Compare)
1700 E Cesar E Chavez Ave
Suite 3100
Los Angeles, CA 90033-2469
2740 S Bristol St
Suite 216
Santa Ana, CA 92704-6233
Phone (714) 442-0931
PO Box
Big Bear Lake, CA 92315-1649
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5951001391 | MI | MD | Podiatrist |
| E6076 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 0103301386 | VA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Multi-Specialty | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Multi-Specialty | Current | Accepting new patients |
| Stanley K Mathis DPM Inc | Multi-Specialty | Current | Accepting new patients |
Locations
1325 N Anaheim Blvd
Ste 200
Anaheim, CA 92801
Phone (714) 507-1476
12751 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 636-7330
1700 E Cesar E Chavez Ave
Ste 3100
Los Angeles, CA 90033
Phone (323) 263-9779
2740 S Bristol St
Ste 216
Santa Ana, CA 92704
Phone (714) 540-1924
1300 S Sunset Ave
West Covina, CA 91790
Phone (626) 960-2711
66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150
222 Walnut Ave SW
Roanoke, VA 24016
Phone (540) 344-3668
1802 Braeburn Dr
Ste A2130
Salem, VA 24153
Phone (540) 344-3668
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kbhan797032@direct.hfhs.org
Organizations & group practices 3
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.
-
- Podiatrist
- Raleigh, NC
- NPI 1073804712
Multi-Specialty, VA
-
- Podiatrist
- Concord, NC
- NPI 1255213997
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1902420813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 BYRNE AVE",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142813",
"telephone_number": "408-431-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 N ANAHEIM BLVD STE 200",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011202",
"telephone_number": "888-499-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAN",
"first_name": "KUNAL",
"middle_name": "KRISHAN",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-05",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "MI",
"license": "5951001391",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301386",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E6076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.