Mandeep Singh Bagga, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A140647 Issued in CA

Practice address

4045 Stockdale Hwy
Bakersfield, CA 93309-2021

Phone

(661) 735-8860

Fax

(661) 873-4065

NPI assigned

Apr 5, 2012

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Psychiatry

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Psychiatric Services IncGroup PAC ID 9436491420, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Good Samaritan Hospital Ca LTD PTP

  dba Good Samaritan Health Center Wasco

  • Rural Health Clinic/Center
  • Wasco, CA
  • NPI 1073103057

  Corporate Director, Limited Partnership Interest

  CMS ownership
• Good Samaritan Hospital Ca LTD PTP

  dba Good Samaritan Arvin Medical Clinic

  • Rural Health Clinic/Center
  • Arvin, CA
  • NPI 1861108631

  Limited Partnership Interest, W-2 Managing Employee

  CMS ownership
• Good Samaritan Hospital Ca LTD PTP

  • Rural Health Clinic/Center
  • Shafter, CA
  • NPI 1942024930

  Operational/Managerial Control

  CMS ownership

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.

• Precision Psychiatric Services Inc

  • Neurology Physician
  • San Jose, CA
  • NPI 1174094064
  Medicare reassignment Care Compare group NPD
• H James Princeton MD a Professional Corp

  dba Premier Walk In Medical Inc

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1053338707
  NPD Authorized official
• Mandeep Bagga, MD, a Medical Corporation

  • Psychiatry Physician
  • Laguna Beach, CA
  • NPI 1477235406
  NPD Authorized official
• Psychplus Associates of California PC

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1457179442
  Medicare reassignment
• Psychplus Medical Associates of California PC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1124875588

  CA

  Medicare reassignment
• Infusion and Clinical Services, Inc.

  dba Premier Urgent Care of Central California

  • Primary Care Clinic/Center
  • Bakersfield, CA
  • NPI 1083952857

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1275899130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 N MEMORY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 STOCKDALE HWY",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933092021",
            "telephone_number": "661-735-8860",
            "fax_number": "661-873-4065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Akers St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932778311",
            "country_code": "US",
            "telephone_number": "559-624-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGGA",
        "first_name": "MANDEEP",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A140647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Dawn Baeza
• Nicole Baeza, LPCC
• Jenna Bagala
• Harmon Bagamaspad Bagallon
• Regina Bagallon, LVN
• Nazila Mirza Bagheri, DDS
• Shelby Bagnall
• Amrit Bagri
• Karmjeet Kaur Bagri
• Andrea Seantrice Bagsby

• Psychiatry Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.