Individual provider Active NPI

Alok Banga, MD,MBBS,MPH, MS

  • Child & Adolescent Psychiatry Physician
  • Elk Grove, CA
National Provider Identifier
1083807531
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A131310 Issued in CA
Practice address
9303 Laguna Springs Dr Ste 110
Elk Grove, CA 95758-7834
Phone
(916) 647-4044
Fax
(916) 647-4290
NPI assigned
Aug 18, 2007
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A131310 CA
Child & Adolescent Psychiatry Physician 2084P0804X A131310 CA Primary

Addresses

Primary practice location

9303 Laguna Springs Dr Ste 110
Elk Grove, CA 95758-7834

Mailing address

9370 W Stockton Blvd Ste 130
Elk Grove, CA 95758-8013
Phone (916) 647-4044

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
I20141111001362 CA Practitioner - Psychiatry 3779760285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Psychiatry Center IncGroup PAC ID 3678804796, 2 clinicians

Practice addresses (Care Compare)

8001 Bruceville Rd
Sacramento, CA 95823-2329
Phone (916) 288-0300

9370 W Stockton Blvd
Suite 130
Elk Grove, CA 95758-8013
Phone (916) 647-4044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
A131310CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychiatry Center Inc Single Specialty CurrentSince Mar 1, 2017 Accepting new patients
Ahcck LLC PastSince Jun 18, 2023 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

9303 Laguna Springs Dr
Ste 110
Elk Grove, CA 95758
Phone (916) 513-7949

9370 W Stockton Blvd
Ste 130
Elk Grove, CA 95758
Phone (916) 647-4044

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1083807531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 W STOCKTON BLVD STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588013",
            "telephone_number": "916-647-4044",
            "fax_number": "916-647-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 LAGUNA SPRINGS DR STE 110",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587834",
            "telephone_number": "916-647-4044",
            "fax_number": "916-647-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGA",
        "first_name": "ALOK",
        "name_prefix": "Dr.",
        "credential": "MD,MBBS,MPH, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A131310",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A131310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.