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

Shivam Bhakta

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649030719

Shivam Bhakta is a Student in an Organized Health Care Education/Training Program in San Bernardino, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone: (909) 883-9711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1649030719
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

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