Individual provider Active NPI

Manish Sahai Aggarwal, M.D

  • Psychiatry Physician
  • Folsom, CA
National Provider Identifier
1225293293
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A133513 Issued in CA
Practice address
2150 E Bidwell St
Folsom, CA 95630-6453
Phone
(916) 473-2235
Fax
(844) 722-9257
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.098282 OH
Psychiatry Physician 2084P0800X A133513 CA Primary

Addresses

Primary practice location

2150 E Bidwell St
Folsom, CA 95630-6453

Mailing address

2150 E Bidwell St
Folsom, CA 95630-6453
Phone (916) 473-2235

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
I20161028000425 CA Practitioner - Psychiatry 3476712910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacramento Neuropsych Associates IncGroup PAC ID 3971970807, 8 clinicians

Practice addresses (Care Compare)

2150 E Bidwell St
Folsom, CA 95630-6453
Phone (916) 473-2235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133513CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Neuropsych Associates Inc Psychiatry CurrentSince Feb 19, 2021 Accepting new patients
M Aggarwal MD Inc Psychiatry Current Accepting new patients
Harjot S Sekhon MD, Inc Psychiatry CurrentSince Sep 25, 2016 Accepting new patients

Locations

2150 E Bidwell St
Folsom, CA 95630
Phone (916) 473-2235

193 Blue Ravine Rd
Ste 220
Folsom, CA 95630
Phone (916) 473-2235

5800 Stanford Ranch Rd
Ste 720
Rocklin, CA 95765
Phone (916) 473-2235

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1225293293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306453",
            "telephone_number": "916-473-2235",
            "fax_number": "844-722-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306453",
            "telephone_number": "916-473-2235",
            "fax_number": "844-722-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "MANISH",
        "middle_name": "SAHAI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.098282",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A133513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.