Active NPI
Dinika Bagga
- Optometrist
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15288
- Practice address
- 2700 14TH Ave SE
Albany, OR 97322-6956 - Phone
- (541) 928-1666
- NPI assigned
- Jul 2, 2015
- Last updated
- Dec 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15288 | CA | Primary |
Addresses
Primary practice location
2700 14TH Ave SE
Albany, OR 97322-6956
Mailing address
3029 Mountain View Dr
Laguna Beach, CA 92651-2022
Phone (949) 637-3543
Other practice location 1
240 S Coast Hwy
Laguna Beach, CA 92651-2110
Phone (949) 494-5452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside-San Bernardino County Indian Health, Inc. | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Bagga Optometry LLC | Optometrist | Current | Accepting new patients |
| Riverside-San Bernardino County Indian Health, Inc. | Current | Accepting new patients | |
| Optometry of Laguna Beach | Optometrist | Past | Accepting new patients |
Locations
11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470
23119 Soboba Rd
San Jacinto, CA 92583
Phone (951) 654-0803
Interoperability endpoints
- dinika.bagga.p1@direct.genstlereyecenter.nextgenshare.com
Organizations & group practices 5
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.
-
dba San Manuel Indian Health
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
TX
-
- Optometrist
- Columbia, SC
- NPI 1427928183
-
- Optometrist
- Laguna Beach, CA
- NPI 1831544931
-
dba Santa Rosa Indian Health Clinic
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
-
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1720178478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1285017699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 MOUNTAIN VIEW DR",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512022",
"telephone_number": "949-637-3543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 14TH AVE SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973226956",
"telephone_number": "541-928-1666"
}
],
"practiceLocations": [
{
"address_1": "240 S COAST HWY",
"address_purpose": "LOCATION",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512110",
"country_code": "US",
"telephone_number": "949-494-5452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAGGA",
"first_name": "DINIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2021-12-06",
"certification_date": "2021-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.