Individual provider Active NPI

Shagun Bagga-Malhotra, M.D.

  • Internal Medicine Physician
  • Modesto, CA
National Provider Identifier
1063677508
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A119796 Issued in CA
Practice address
1441 Florida Ave
Modesto, CA 95350-4404
Phone
(209) 576-3525
Fax
(209) 576-3544
NPI assigned
Jul 24, 2008
Last updated
Mar 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A119796 CA Primary

Addresses

Primary practice location

1441 Florida Ave
Modesto, CA 95350-4404

Mailing address

1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 576-3525

Other identifiers 1

IdentifierTypeStateIssuer
A119796OtherCALMED LIC

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000449 CA Practitioner - HospitalistPractitioner - Internal Medicine 3577603109 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Urgent Care IncGroup PAC ID 4587930425, 4 clinicians
Community Medical Team Acute Care CorporationGroup PAC ID 4587002290, 11 clinicians

Practice addresses (Care Compare)

22101 Redwood Rd
Suite B
Castro Valley, CA 94546-7107
Phone (510) 605-5330

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 464-6422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119796CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince May 19, 2022 Accepting new patients
Progressive Urgent Care Inc CurrentSince Oct 12, 2018 Accepting new patients
Galen Inpatient Physicians PC CurrentSince May 19, 2022 Accepting new patients
Community Medical Team Acute Care Corporation CurrentSince Apr 1, 2024 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Hospitalists of Modesto Medical Group Inc Internal Medicine CurrentSince Feb 21, 2012 Accepting new patients
Neighborhood Health, Inc. Internal Medicine Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Malhotra and Chitturi Medical Corp PastSince May 14, 2023 Accepting new patients

Locations

22101 Redwood Rd
Ste B
Castro Valley, CA 94546
Phone (510) 605-5330

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

801 17th St
Modesto, CA 95354
Phone (209) 251-0200

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

1801 E March Ln
Ste C300
Stockton, CA 95210
Phone (209) 464-6422

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1063677508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504404",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 FLORIDA AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504404",
            "telephone_number": "209-576-3525",
            "fax_number": "209-576-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGA-MALHOTRA",
        "first_name": "SHAGUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A119796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMED LIC",
            "identifier": "A119796",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.