Individual provider Active NPI

Kayhan Bangash, MD

  • Family Medicine Physician
  • Madera, CA
National Provider Identifier
1285071894
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A170260 Issued in CA
Practice address
924 Emily Way
Madera, CA 93637-5647
Phone
(559) 395-4009
Fax
(559) 664-5069
NPI assigned
May 23, 2013
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X A170260 CA
Family Medicine Physician 207Q00000X E9113 AR
Family Medicine Physician 207Q00000X A170260 CA Primary

Addresses

Primary practice location

924 Emily Way
Madera, CA 93637-5647

Mailing address

924 Emily Way
Madera, CA 93637-5647
Phone (559) 395-4009

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
I20210709001139 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7517261597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

924 Emily Way
Madera, CA 93637-5647
Phone (559) 395-4009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E9113ARMDFamily Medicine Physician
A170260CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Kayhan Bangash MD Medical Corporation Family Medicine CurrentSince Apr 28, 2022 Accepting new patients
Cep America-California Emergency Medicine CurrentSince May 25, 2021 Accepting new patients
Cep America - California Emergency Medicine CurrentSince May 25, 2021 Accepting new patients
Jefferson Hospital Association, Inc. Past Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

924 Emily Way
Madera, CA 93637
Phone (559) 203-5125

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Interoperability endpoints

  • Direct secure messaging: eshkbanga@yourcarecommunity.org
  • Direct secure messaging: kayhan.bangash.1@17281.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1285071894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 EMILY WAY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375647",
            "telephone_number": "559-395-4009",
            "fax_number": "559-664-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 EMILY WAY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375647",
            "telephone_number": "559-395-4009",
            "fax_number": "559-664-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGASH",
        "first_name": "KAYHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2023-12-05",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A170260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E9113",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A170260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.