Individual provider Active NPI

Abesh Kumar Bhattacharjee, M.D., PH.D.

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1922393388
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A122409 Issued in CA
Practice address
9500 Gilman Dr
Room # 9116a
La Jolla, CA 92093-9116
Phone
(858) 534-4040
Fax
(858) 822-0231
NPI assigned
Jun 14, 2011
Last updated
Aug 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A122409 CA Primary

Addresses

Primary practice location

9500 Gilman Dr
Room # 9116a
La Jolla, CA 92093-9116

Mailing address

9500 Gilman Dr
Room # 9116a
La Jolla, CA 92093-9116
Phone (858) 534-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1922393388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "ROOM # 9116A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920939116",
            "telephone_number": "858-534-4040",
            "fax_number": "858-822-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DR",
            "address_2": "ROOM # 9116A",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920939116",
            "telephone_number": "858-534-4040",
            "fax_number": "858-822-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHATTACHARJEE",
        "first_name": "ABESH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A122409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.