Individual provider Active NPI

Dinika Bagga

  • Optometrist
  • Albany, OR
National Provider Identifier
1285017699
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15288 Issued in CA
Practice address
2700 14TH Ave SE
Albany, OR 97322-6956
Phone
(541) 928-1666
NPI assigned
Jul 2, 2015
Last updated
Dec 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160922002003 CA Practitioner - Optometry 5991092744 Practice locations: Laguna Beach, CA
I20161107000328 TX Practitioner - Optometry 5991092744 Reassigns benefits to 1 organization
I20230920002858 FL Practitioner - Optometry 5991092744

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Aug 15, 2016 Accepting new patients
Bagga Optometry LLC Optometrist Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. CurrentSince Aug 15, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.