Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bharathi Rasagolla, FNP

Individual provider Family Nurse Practitioner · NPI 1649855727

Bharathi Rasagolla, FNP is a Nurse Practitioner in Irvine, California. Qualified in 2005, 21 years ago. Practices with Mark H Mazur MD and Barry Statner MD a Professional Corporation, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2021
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4902 Irvine Center Dr Ste 105
Irvine, CA 92604-3334
Phone: (949) 651-9671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17742 Beach Blvd Ste 245, Huntington Beach, CA 92647-6835 — (714) 375-5970

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95016061 (CA)

Record details

NPI number1649855727
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 10, 2021
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mark H Mazur Md And Barry Statner Md A Professional Corporation — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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