Individual provider Active NPI

Kunal Krishan Bhan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Anaheim, CA
National Provider Identifier
1902420813
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E6076 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231025000280 VA Practitioner - Podiatry 5597111724 Reassigns benefits to 1 organization
I20240809000627 CA Practitioner - Podiatry 5597111724 Reassigns benefits to 1 organization

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
Stanley K Mathis DPM IncGroup PAC ID 7416284138, 7 clinicians
Bear Valley Community Health Care DistrictGroup PAC ID 0345138582, shared by 3 NPIs, 28 clinicians

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 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5951001391MIMDPodiatrist
E6076CAMDFoot & Ankle Surgery Podiatrist
0103301386VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Stanley K Mathis DPM Inc Multi-Specialty CurrentSince Sep 1, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.