Active NPI
Shivarama Bhat, M.D.
- Nephrology Physician
- Merced, CA
National Provider Identifier
1962564278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A29324
- Practice address
- 3150 G St
Merced, CA 95340-1308 - Phone
- (209) 761-1408
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | A29324 | CA | Primary |
Addresses
Primary practice location
3150 G St
Merced, CA 95340-1308
Mailing address
3701 Stone Temple CT
Rocklin, CA 95765-5711
Phone (916) 663-5820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A293240 | Medicaid | CA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962564278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 STONE TEMPLE CT",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655711",
"telephone_number": "916-663-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 G ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953401308",
"telephone_number": "209-761-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAT",
"first_name": "SHIVARAMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A29324",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A293240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.