Individual provider Active NPI

Rose Preet Bajwa, NP-C

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1245041847
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021800 Issued in CA
Practice address
1325 Howe Ave Ste 101
Sacramento, CA 95825-3364
Phone
(916) 999-1418
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021800 CA Primary

Addresses

Primary practice location

1325 Howe Ave Ste 101
Sacramento, CA 95825-3364

Mailing address

1325 Howe Ave Ste 101
Sacramento, CA 95825-3364

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129002004 CA Practitioner - Nurse Practitioner 5092244517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
EagleviewpsychiatryGroup PAC ID 8921546862, 5 clinicians

Practice addresses (Care Compare)

1325 Howe Ave
Suite 101
Sacramento, CA 95825-3364
Phone (916) 999-1418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eagleviewpsychiatry CurrentSince Jan 24, 2025 Accepting new patients

Locations

8788 Elk Grove Blvd
Ste L
Elk Grove, CA 95624
Phone (916) 505-8088

1325 Howe Ave
Ste 101
Sacramento, CA 95825
Phone (916) 927-3137

428 J St
Ste 400
Sacramento, CA 95814
Phone (916) 284-4129

2880 Zanker Rd
Ste 208
San Jose, CA 95134
Phone (916) 999-1418

1215 Plumas St
Ste 1300A
Yuba City, CA 95991
Phone (530) 751-9604

Organizations & group practices 1

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1245041847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HOWE AVE STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HOWE AVE STE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253364",
            "telephone_number": "916-999-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "ROSE",
        "middle_name": "PREET",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.