Provider Demographics
NPI:1720030208
Name:NAKAI, BHUPINDER SINGH (MD)
Entity Type:Individual
Prefix:
First Name:BHUPINDER
Middle Name:SINGH
Last Name:NAKAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9327 FAIRWAY VIEW PL
Mailing Address - Street 2:STE 110
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0968
Mailing Address - Country:US
Mailing Address - Phone:909-945-3330
Mailing Address - Fax:909-945-1031
Practice Address - Street 1:9327 FAIRWAY VIEW PL
Practice Address - Street 2:STE 110
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0968
Practice Address - Country:US
Practice Address - Phone:909-945-3330
Practice Address - Fax:909-945-1031
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC505492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C505490Medicaid
CA00C505490OtherMEDICARE ID-TYPE UNSPECIFIED
CA00C505490OtherMEDICARE ID-TYPE UNSPECIFIED