Individual provider Active NPI

Raghunath Bansal, M.D.

  • Psychiatry Physician
  • Walnut Creek, CA
National Provider Identifier
1255445086
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A86883 Issued in CA
Practice address
3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078
Phone
(925) 944-9711
NPI assigned
Aug 18, 2006
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A86883 CA Primary

Addresses

Primary practice location

3100 Oak Rd Ste 270
Walnut Creek, CA 94597-2078

Mailing address

1350 Treat Blvd
Walnut Creek, CA 94597-2133
Phone (925) 289-9022

Other practice location 1

5030 Business Center Dr Ste 220
Fairfield, CA 94534-6881
Phone (707) 864-6860

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
I20050627000515 CA Practitioner - Psychiatry 0446241392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians
Comprehensive Psychiatric Services a Medical GroupGroup PAC ID 0244329969, 74 clinicians

Practice addresses (Care Compare)

2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone (916) 651-8811

3100 Oak Rd
Suite 270
Walnut Creek, CA 94597-2078
Phone (925) 944-9711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86883CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Apr 16, 2024 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group Psychiatry CurrentSince Aug 1, 2008 Accepting new patients
Department of State Hospitals CurrentSince Apr 16, 2024 Accepting new patients

Locations

490 Chadbourne Rd
Ste A
Fairfield, CA 94534
Phone (707) 422-0464

5030 Business Center Dr
Ste 220
Fairfield, CA 94534
Phone (707) 864-6860

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

333 University Ave
Ste 200
Sacramento, CA 95825
Phone (707) 864-6860

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

Organizations & group practices 4

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1255445086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 TREAT BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972133",
            "telephone_number": "925-289-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK RD STE 270",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972078",
            "telephone_number": "925-944-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5030 Business Center Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945346881",
            "country_code": "US",
            "telephone_number": "707-864-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "RAGHUNATH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A86883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.