Individual provider Active NPI

Neelam Udghosh Bhambore, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1992970040
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A112208 Issued in CA
Practice address
2400 Del Paso Rd
Suite # 145
Sacramento, CA 95834-9627
Phone
(916) 928-3940
Fax
(916) 928-3950
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A112208 CA Primary

Addresses

Primary practice location

2400 Del Paso Rd
Suite # 145
Sacramento, CA 95834-9627

Mailing address

2400 Del Paso Rd
Suite # 145
Sacramento, CA 95834-9627
Phone (916) 928-3940

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1992970040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 DEL PASO RD",
            "address_2": "SUITE # 145",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349627",
            "telephone_number": "916-928-3940",
            "fax_number": "916-928-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 DEL PASO RD",
            "address_2": "SUITE # 145",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958349627",
            "telephone_number": "916-928-3940",
            "fax_number": "916-928-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAMBORE",
        "first_name": "NEELAM",
        "middle_name": "UDGHOSH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.