Organization Active NPI

Juma Bharadia, M.D., Inc.

  • Interventional Cardiology Physician
  • Torrance, CA
National Provider Identifier
1952551772
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A56515 Issued in CA
Legal business name
JUMA BHARADIA, M.D., INC.
Practice address
22617 Hawthorne Blvd
Torrance, CA 90505-2510
Phone
(310) 370-4700
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Juma Bharadia, M.D.NPI 1285651166
Title
President
Phone
(310) 370-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X A56515 CA Primary

Addresses

Primary practice location

22617 Hawthorne Blvd
Torrance, CA 90505-2510

Mailing address

24325 Crenshaw Blvd
#403
Torrance, CA 90505-5349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090331000048 CA Part B Supplier - Clinic/Group Practice 4981761384 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practitioners & affiliated clinicians

Practitioners 1

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": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1952551772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24325 CRENSHAW BLVD",
            "address_2": "#403",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22617 HAWTHORNE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052510",
            "telephone_number": "310-370-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUMA BHARADIA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "BHARADIA",
        "authorized_official_first_name": "JUMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-370-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A56515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.