Jagan N. Bansal, M.D., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JAGAN N. BANSAL, M.D., INC.

Practice address

5540 N Figueroa St
Los Angeles, CA 90042-4120

Phone

(323) 478-1101

Fax

(323) 255-2745

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jagan Nath Bansal, M.D.NPI 1932102456

Title

Ceo

Phone

(323) 478-1101

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Complete Family Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jagan N. Bansal, M.D., Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1013099936

  O20050421000957

  Same enrollment

Practitioners 8

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

• Jagan Bansal, M.D.

  • Pulmonary Disease Physician
  • Los Angeles, CA
  • NPI 1932102456
  Medicare reassignment Authorized official
• Amy P Bansal, M.D.

  • Otolaryngology Physician
  • Los Angeles, CA
  • NPI 1437569613
  Medicare reassignment NPD
• Maneesh A Bansal, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1063615102
  Medicare reassignment NPD
• Oswaldo Huerta Franco, PA-C

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1245471580
  Medicare reassignment NPD
• Iman Jomaa

  • Physician Assistant
  • Pasadena, CA
  • NPI 1538403597
  Medicare reassignment NPD
• David Kay, DO

  • Family Medicine Physician
  • Sherman Oaks, CA
  • NPI 1205254992

  Multi-Specialty

  Medicare reassignment NPD
• Miguel A Moran, PA

  • Medical Physician Assistant
  • Los Angeles, CA
  • NPI 1255413175
  Medicare reassignment NPD
• Alfonso Villanueva Pastores, FNP

  • Family Nurse Practitioner
  • Artesia, CA
  • NPI 1700335494
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1043392962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424120",
            "telephone_number": "323-478-1101",
            "fax_number": "323-255-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424120",
            "telephone_number": "323-478-1101",
            "fax_number": "323-255-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGAN N. BANSAL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "JAGAN",
        "authorized_official_middle_name": "NATH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-478-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0014481",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Ruth Jaffe, L.C.S.W.
• Joel Jaffe, MD
• Paul J. Jaffe, MD
• Priya Darshni Jagadeesan
• Jagan N. Bansal, M.D., Inc.
• Lisaann J Jagan, MSW
• Vimmi Jaggi, LCSW
• Danielle Jagoda, LMFT
• Kayla Sivan Jagoda, MD
• Mohit Jagwani, DDS

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.