Individual provider Active NPI

Sarupinder Singh Bhangoo, M.D.

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1184687782
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A402940 Issued in CA
Practice address
9508 Stockdale Hwy
Suite 140 a
Bakersfield, CA 93311-3622
Phone
(661) 664-4700
Fax
(661) 664-6787
NPI assigned
Apr 6, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A402940 CA Primary

Addresses

Primary practice location

9508 Stockdale Hwy
Suite 140 a
Bakersfield, CA 93311-3622

Mailing address

9508 Stockdale Hwy
Suite 140 a
Bakersfield, CA 93311-3622
Phone (661) 664-4700

Other identifiers 3

IdentifierTypeStateIssuer
00A402940MedicaidCA
110165425OtherCARRMEDICARE
A402940OtherCAMEDICAL LICENSE

Other names 1

  • Dr. Sarup Singh Bhangoo Other name

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
I20091124000615 CA Practitioner - Internal MedicinePractitioner - Family Practice 2860531274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9508 Stockdale Hwy
Suite 140a
Bakersfield, CA 93311-3623
Phone (661) 664-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A402940CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sbhangoo@ssbmd.adaptamed.direct-ci.com

Organizations & group practices 3

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 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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184687782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 STOCKDALE HWY",
            "address_2": "SUITE 140 A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113622",
            "telephone_number": "661-664-4700",
            "fax_number": "661-664-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 STOCKDALE HWY",
            "address_2": "SUITE 140 A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113622",
            "telephone_number": "661-664-4700",
            "fax_number": "661-664-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANGOO",
        "first_name": "SARUPINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A402940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A402940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "110165425",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A402940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARUP",
            "last_name": "BHANGOO",
            "middle_name": "SINGH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.