Individual provider Active NPI

Jasvinder Singh Nangiana, M.D.

  • Neurological Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1104072545
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A115268 Issued in CA
Practice address
10833 Leconte Avenue Room 17 376 Semel
Los Angeles, CA 90095-7039
Phone
(310) 825-6301
NPI assigned
Aug 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 52846 MN
Neurological Surgery Physician 207T00000X A115268 CA Primary

Addresses

Primary practice location

10833 Leconte Avenue Room 17 376 Semel
Los Angeles, CA 90095-7039

Mailing address

10833 Leconte Avenue Room 17 376 Semel
Los Angeles, CA 90095-7039
Phone (310) 825-6301

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnangiana605791@oc.providencedirect.org

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
I20160818002003 CA Practitioner - Neurosurgery 7517099591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Stanford University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

11550 Indian Hills Rd
Suite 261
Mission Hills, CA 91345-1244
Phone (818) 496-7740

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion19
Laminectomy or laminotomy (partial removal of spine bones)1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115268CAMDNeurological Surgery Physician
52846MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Brain and Spine Institute Inc CurrentSince Oct 22, 2022 Accepting new patients
Providence Medical Institute CurrentSince Aug 1, 2016 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Medical Institute CurrentSince Aug 1, 2016 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Locations

11550 Indian Hls
Ste 261
Mission Hills, CA 91345
Phone (818) 361-0917

11550 Indian Hills Rd
Ste 381
Mission Hills, CA 91345
Phone (818) 361-5069

1441 Constitution Blvd
Ste 300
Salinas, CA 93906
Phone (831) 783-2506

26357 McBean Pkwy
Ste 150
Valencia, CA 91355
Phone (661) 259-2990

26357 McBean Pkwy
Valencia, CA 91355
Phone (661) 222-2600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jnangiana605791@oc.providencedirect.org

Organizations & group practices 6

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 2

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1104072545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10833 LECONTE AVENUE ROOM 17 376 SEMEL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957039",
            "telephone_number": "310-825-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LECONTE AVENUE ROOM 17 376 SEMEL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957039",
            "telephone_number": "310-825-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANGIANA",
        "first_name": "JASVINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "52846",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A115268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnangiana605791@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11550 Indian Hills Rd",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.