Healthcare Provider Details

I. General information

NPI: 1053519280
Provider Name (Legal Business Name): ANJALI ANIL BHARNE M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 GARDEN VIEW RD SUITE 200
ENCINITAS CA
92024-2477
US

IV. Provider business mailing address

FILE 57326
LOS ANGELES CA
90074-7326
US

V. Phone/Fax

Practice location:
  • Phone: 760-536-7700
  • Fax: 760-536-7710
Mailing address:
  • Phone: 800-926-8273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA94639
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: