NPIMap

Organization Active NPI

Dr. a.R. Bhupathy, Inc

  • Dermatology Physician
  • Loma Linda, CA
National Provider Identifier
1902907108
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20A6177 Issued in CA
Legal business name
DR. A.R. BHUPATHY, INC
Practice address
11326 Mountain View Ave Ste B
Loma Linda, CA 92354-3817
Phone
(909) 799-0029
Fax
(760) 318-8103
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Dr. Anand Raja Bhupathy, D.O.
Title
Ceo/Owner/President
Phone
(714) 524-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 20A6177 CA Primary

Addresses

Primary practice location

11326 Mountain View Ave Ste B
Loma Linda, CA 92354-3817

Mailing address

22400 Barton Rd # 21-198
Grand Terrace, CA 92313-5030
Phone (714) 315-3633

Other practice location 1

16960 Bastanchury Rd
Suite I
Yorba Linda, CA 92886-1711
Phone (714) 524-9700

Other identifiers 1

IdentifierTypeStateIssuer
20A6177OtherCALICENSE

National Provider Directory

National Provider Directory

Locations

22400 Barton Rd
#21198
Grand Terrace, CA 92313

16960 Bastanchury Rd
Ste I
Yorba Linda, CA 92886
Phone (714) 524-9700

16960 Bastanchury Rd
Ste I
Yorba Linda, CA 92886
Phone (714) 524-9700

Practitioners & affiliated clinicians

Practitioners 9

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1902907108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 BARTON RD # 21-198",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135030",
            "telephone_number": "714-315-3633",
            "fax_number": "760-318-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11326 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543817",
            "telephone_number": "909-799-0029",
            "fax_number": "760-318-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16960 Bastanchury Rd",
            "address_2": "Suite I",
            "address_purpose": "LOCATION",
            "city": "Yorba Linda",
            "state": "CA",
            "postal_code": "928861711",
            "country_code": "US",
            "telephone_number": "714-524-9700",
            "fax_number": "714-524-9874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. A.R. BHUPATHY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BHUPATHY",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "RAJA",
        "authorized_official_title_or_position": "CEO/OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-524-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A6177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A6177",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.