Basic Information
| Provider Information | |||||||||
| NPI: | 1720030208 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NAKAI | ||||||||
| FirstName: | BHUPINDER | ||||||||
| MiddleName: | SINGH | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 9327 FAIRWAY VIEW PL | ||||||||
| Address2: | STE 110 | ||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917300968 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099453330 | ||||||||
| FaxNumber: | 9099451031 | ||||||||
| Practice Location | |||||||||
| Address1: | 9327 FAIRWAY VIEW PL | ||||||||
| Address2: | STE 110 | ||||||||
| City: | RANCHO CUCAMONGA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917300968 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9099453330 | ||||||||
| FaxNumber: | 9099451031 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 09/18/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | C50549 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 00C505490 | 05 | CA | MEDICAID | 00C505490 | 01 | CA | MEDICARE ID-TYPE UNSPECIFIED | OTHER |