NPIMap

Individual provider Active NPI

Nutan Bhaskar, MD

  • Pulmonary Disease Physician
  • Glendora, CA
National Provider Identifier
1922269604
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C181400 Issued in CA
Practice address
353 W Foothill Blvd
Glendora, CA 91741-5309
Phone
(626) 914-5219
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X C181400 CA Primary

Addresses

Primary practice location

353 W Foothill Blvd
Glendora, CA 91741-5309

Mailing address

154A W Foothill Blvd # 281
Upland, CA 91786-3847
Phone (626) 914-5219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230407000703 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4587807292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Pulmonary Associates IncGroup PAC ID 6608272455, 7 clinicians

Practice addresses (Care Compare)

353 W Foothill Blvd
Glendora, CA 91741-5309
Phone (626) 914-5219

500 N Euclid Ave
Upland, CA 91786-4734
Phone (626) 914-5219

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C181400CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pulmonary Associates Inc Pulmonary Disease CurrentSince Mar 1, 2023 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Nutan Bhaskar MD Inc Pulmonary Disease CurrentSince Mar 1, 2023 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
St Vincent Infirmary Medical Center Past Accepting new patients

Locations

415 W Carroll Ave
Ste 100
Glendora, CA 91741

353 W Foothill Blvd
Glendora, CA 91741
Phone (626) 857-7344

154 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 758-2175

154A W Foothill Blvd
Upland, CA 91786
Phone (909) 373-4632

500 N Euclid Ave
Upland, CA 91786
Phone (909) 757-8425

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nutan.bhaskar.p1@direct.chi-lrdc.nextgenshare.com
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1922269604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154A W FOOTHILL BLVD # 281",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863847",
            "telephone_number": "626-914-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 W FOOTHILL BLVD",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917415309",
            "telephone_number": "626-914-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKAR",
        "first_name": "NUTAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C181400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.