DR. BHAVRAJ KHALSA (NPI# 1588928378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588928378 |
| Entity Type | Individual |
| Full Name | DR. BHAVRAJ KHALSA |
| Credential | M.D. |
| Practice Address |
101 The City Dr S Orange CA 92868 |
| Mailing Address |
101 The City Dr S Orange CA 92868-3201 |
| Practice Telephone | 7144565033 |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A130823 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
101 THE CITY DR S |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163126 | Melvin Leon Seard | Urology | 101 The City Dr S, Orange, CA 92868-3201 | 2005-06-10 |
| 1164022448 | Kwang Yeon Carol Lee | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-27 |
| 1679172092 | Ghazal Noory | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-10-19 |
| 1629676721 | Wendee H Montes-rodriguez | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3298 | 2020-10-12 |
| 1295342152 | Norma Gabriela Orellana | Nurse Practitioner | 101 The City Dr S, Orange, CA 92868-3201 | 2020-09-24 |
| 1225642903 | Michelle Nguyen | Registered Nurse | 101 The City Dr S, Orange, CA 92868-3298 | 2020-09-01 |
| 1861017873 | Valerie Isaree Pooudomsak | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-06-15 |
| 1629692330 | Denise Gabriella Tafoya | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-29 |
| 1063034650 | Dai Phuong Nguyen | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
| 1063034692 | Kaitlin Dempsey | Nurse Anesthetist, Certified Registered | 101 The City Dr S, Orange, CA 92868-3201 | 2020-05-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
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| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851687008 | James Katrivesis | Radiology | 101 The City Drive South, Route 140, Orange, CA 92868 | 2011-06-27 |
| 1124349980 | Reza Shahbaz | Radiology | 101 The City Dr S, Orange, CA 92868-3201 | 2010-06-16 |
| 1831429513 | Dayantha Manilal Fernando II | Radiology | 101 The City Dr S, Department of Radiology, Orange, CA 92868-3201 | 2010-01-03 |
| 1952578262 | Nii-kabu Kabutey | Radiology | 333 City Blvd W, Suite 1600, Orange, CA 92868-2903 | 2008-05-15 |
| 1235337627 | Nadine Abi-jaoudeh | Radiology | 101 The City Dr S, Orange, CA 92868-3201 | 2007-07-06 |
| 1629070610 | Vascular and Interventional Specialists of Orange County, Inc. | Radiology | 1140 W La Veta Ave, Ste. 850, Orange, CA 92868-4218 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.