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Bhavni Bhatt

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

757 Westwood Plz, Los Angeles, CA 90095-8358

PECOS Enrollment

Based on the most recent information from CMS, provider Bhavni Bhatt is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1265847057
Provider Type
Individual
Full Name
Bhatt, Bhavni
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/1/2014
Last Updated
7/1/2014

Contact Information

Practice Location

757 Westwood Plz, Los Angeles, CA 90095-8358

(310) 267-7612

Unlisted Fax

Mailing Location

1371 W Mesa Dr, Rialto, CA 92376-3926

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LA2100X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 23556 California

Bhavni Bhatt

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Lau, Stephanie Wei Wen

Dunn, Gabriella

Wu, Nathaly

Baldorado, Bryant

Wheatley, Tia

Lipsky, Charlotte

Martinez, Joyleen

Majidi, Taiyaba

Ronan, Lindsey

Gewarges, Renee Mary