Individual provider Active NPI

Rajendra Bakhda, O.T.R.

  • Contractor
  • Palmdale, CA
National Provider Identifier
1962892190
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
OT6177 Issued in CA
Practice address
6910 Sycamore LN
Palmdale, CA 93551-1920
Phone
(661) 943-3108
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X OT6177 CA Primary

Addresses

Primary practice location

6910 Sycamore LN
Palmdale, CA 93551-1920

Mailing address

PO Box 6643
Lancaster, CA 93539-6643
Phone (661) 943-3108

Other identifiers 1

IdentifierTypeStateIssuer
OT6711OtherCACA BOARD OF OCCUPATIONAL THERAPY

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

LicenseStateTypeSpecialty
OT6177CAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1962892190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6643",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935396643",
            "telephone_number": "661-943-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 SYCAMORE LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511920",
            "telephone_number": "661-943-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHDA",
        "first_name": "RAJENDRA",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "OT6177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OT6711",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.