Individual provider Active NPI

Harkirat Kaur Bajwa

  • Psychiatric/Mental Health Nurse Practitioner
  • Fremont, CA
National Provider Identifier
1295409597
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95029329 Issued in CA
Practice address
39001 Sundale Dr
Fremont, CA 94538-2005
Phone
(510) 796-1100
NPI assigned
Aug 2, 2021
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95049751 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029329 CA Primary

Addresses

Primary practice location

39001 Sundale Dr
Fremont, CA 94538-2005

Mailing address

39001 Sundale Dr
Fremont, CA 94538-2005
Phone (510) 796-1100

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216003380 CA Practitioner - Nurse Practitioner 9133614233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 789
Danville, CA 94526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95049751CAMDRegistered Nurse
95029329CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Behavior Solutions Inc CurrentSince Oct 15, 2025 Accepting new patients
Universal Medical Group CurrentSince Oct 15, 2025 Accepting new patients

Locations

39001 Sundale Dr
Fremont, CA 94538
Phone (510) 796-1100

91 Gregory Ln
Ste 20
Pleasant Hill, CA 94523
Phone (925) 813-9273

Organizations & group practices 2

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1295409597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39001 SUNDALE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382005",
            "telephone_number": "510-796-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39001 SUNDALE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382005",
            "telephone_number": "510-796-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "HARKIRAT",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95049751",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.