Active NPI
Harprit K. Bajwa, D.P.M., Inc
- Foot & Ankle Surgery Podiatrist
- Cameron Park, CA
National Provider Identifier
1063645281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4574
- Legal business name
- HARPRIT K. BAJWA, D.P.M., INC
- Practice address
- 3106 Ponte Morino Dr
Suite B
Cameron Park, CA 95682-8281 - Phone
- (530) 676-3668
- Fax
- (530) 676-3666
- NPI assigned
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harprit Kaur Bajwa, D.P.M.
- Title
- President/ Secretary/Owner
- Phone
- (530) 676-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4574 | CA | Primary |
Addresses
Primary practice location
3106 Ponte Morino Dr
Suite B
Cameron Park, CA 95682-8281
Mailing address
3106 Ponte Morino Dr
Suite B
Cameron Park, CA 95682-8281
Phone (530) 676-3668
National Provider Directory
National Provider DirectoryLocations
3106 Ponte Morino Dr
Ste B
Cameron Park, CA 95682
Phone (530) 631-1310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267488000000",
"number": "1063645281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106 PONTE MORINO DR",
"address_2": "SUITE B",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956828281",
"telephone_number": "530-676-3668",
"fax_number": "530-676-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 PONTE MORINO DR",
"address_2": "SUITE B",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956828281",
"telephone_number": "530-676-3668",
"fax_number": "530-676-3666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARPRIT K. BAJWA, D.P.M., INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2010-03-02",
"status": "A",
"authorized_official_last_name": "BAJWA",
"authorized_official_first_name": "HARPRIT",
"authorized_official_middle_name": "KAUR",
"authorized_official_title_or_position": "PRESIDENT/ SECRETARY/OWNER",
"authorized_official_telephone_number": "530-676-3668",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cameron Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.