Individual provider Active NPI

Abhijit Shaligram, MD

  • Surgery Physician
  • Los Banos, CA
National Provider Identifier
1063594653
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C186151 Issued in CA
Practice address
807 Illinois Ave
Los Banos, CA 93635-3512
Phone
(209) 710-6333
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C186151 CA Primary
Surgery Physician 208600000X ML20008683 WA
Surgery Physician 208600000X MD19160 ME

Addresses

Primary practice location

807 Illinois Ave
Los Banos, CA 93635-3512

Mailing address

807 Illinois Ave
Los Banos, CA 93635-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804003076 CA Practitioner - General Surgery 6800047077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Affiliates of CaliforniaGroup PAC ID 3375782667, 12 clinicians

Practice addresses (Care Compare)

520 W I St
Los Banos, CA 93635-3419
Phone (209) 826-0591

807 Illinois Ave
Los Banos, CA 93635-3512
Phone (209) 710-8542

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy36
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C186151CAMDSurgery Physician
ML20008683WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Affiliates of California Surgery CurrentSince Aug 1, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Aug 1, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients

Locations

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8542

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

Interoperability endpoints

  • Direct secure messaging: ashaligram664157@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1063594653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 ILLINOIS AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 ILLINOIS AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353512",
            "telephone_number": "209-710-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALIGRAM",
        "first_name": "ABHIJIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C186151",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "ML20008683",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD19160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.