Organization Active NPI

Harprit K. Bajwa, D.P.M., Inc

  • Foot & Ankle Surgery Podiatrist
  • Cameron Park, CA
National Provider Identifier
1063645281
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4574 Issued in CA
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

Updated by the provider on Mar 2, 2010

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.