Organization Active NPI

Mohan Bajwa DDS Inc

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1003760885
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOHAN BAJWA DDS INC
Practice address
5041 Business Center Dr Ste 106
Fairfield, CA 94534-1787
Phone
(707) 863-9950
NPI assigned
Feb 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohan Bajwa, DDS
Title
Owner
Phone
(707) 863-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5041 Business Center Dr Ste 106
Fairfield, CA 94534-1787

Mailing address

5041 Business Center Dr Ste 106
Fairfield, CA 94534-1787
Phone (707) 863-9950

National Provider Directory

National Provider Directory

Locations

5041 Business Center Dr
Ste 106
Fairfield, CA 94534
Phone (707) 863-9950

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1003760885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 BUSINESS CENTER DR STE 106",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341787",
            "telephone_number": "707-863-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 BUSINESS CENTER DR STE 106",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341787",
            "telephone_number": "707-863-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN BAJWA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-863-9950",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.