Individual provider Active NPI

Pooja Aggarwal, MD

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1235459793
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A138601 Issued in CA
Practice address
2425 Alhambra Blvd
Sacramento, CA 95817-1110
Phone
(916) 737-5555
Fax
(916) 436-5559
NPI assigned
Jun 8, 2010
Last updated
May 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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 A138601 CA Primary

Addresses

Primary practice location

2425 Alhambra Blvd
Sacramento, CA 95817-1110

Mailing address

637 Westchester Dr
Folsom, CA 95630-6250
Phone (605) 595-7301

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
I20151201002091 CA Practitioner - Internal Medicine 2860626108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspace HealthGroup PAC ID 8426157975, 29 clinicians

Practice addresses (Care Compare)

2425 Alhambra Blvd
Sacramento, CA 95817-1955
Phone (916) 550-5481

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138601CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Nov 1, 2023 Accepting new patients
Wellspace Health Current Accepting new patients
Wellspace Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

2425 Alhambra Blvd
Sacramento, CA 95817
Phone (916) 313-8400

2433 Marconi Ave
Sacramento, CA 95821
Phone (808) 636-7117

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: paggarwal769618@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1235459793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 WESTCHESTER DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306250",
            "telephone_number": "605-595-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 ALHAMBRA BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171110",
            "telephone_number": "916-737-5555",
            "fax_number": "916-436-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "POOJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A138601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.