Active NPI
Arusha Bhatia, DMD
- Pediatric Dentistry
- San Juan Capistrano, CA
National Provider Identifier
1962145011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 107715
- Practice address
- 31103 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1759 - Phone
- (949) 661-3380
- NPI assigned
- Apr 17, 2022
- Last updated
- Jul 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 107715 | CA | Primary |
Addresses
Primary practice location
31103 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1759
Mailing address
119 Okra
Irvine, CA 92618-0875
Phone (703) 408-5279
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107715 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1962145011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 OKRA",
"city": "IRVINE",
"state": "CA",
"postal_code": "926180875",
"telephone_number": "703-408-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31103 RANCHO VIEJO RD",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926751759",
"telephone_number": "949-661-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHATIA",
"first_name": "ARUSHA",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-17",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "107715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan Capistrano, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.