Individual provider Active NPI

Jaswinder Pal Singh Bajwa, M.D

  • Internal Medicine Physician
  • Fair Oaks, CA
National Provider Identifier
1306000922
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A118049 Issued in CA
Practice address
6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171
Phone
(619) 432-2592
NPI assigned
Jul 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD443751 PA
Hospitalist Physician 208M00000X A118049 CA
Internal Medicine Physician 207R00000X A118049 CA Primary

Addresses

Primary practice location

6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171

Mailing address

6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171
Phone (619) 432-2592

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
I20120104000329 CA Practitioner - Internal Medicine 0547433732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

Practice addresses (Care Compare)

5320 Hwy 49 N
Mariposa, CA 95338-9588
Phone (209) 966-2344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118049CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Jul 1, 2023 Accepting new patients
Amplehealth Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC CurrentSince Oct 1, 2021 Accepting new patients
Chandan DS Cheema MD Inc Internal Medicine CurrentSince Jul 15, 2021 Accepting new patients
Community Health Centers of America Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Regents of the University of California Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Vertical Vein Corp PastSince Jul 2, 2016 Accepting new patients

Locations

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

6608 Mercy Ct
Ste Ab
Fair Oaks, CA 95628

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

3270 Arena Blvd
Ste 405
Sacramento, CA 95834
Phone (916) 418-4595

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

Interoperability endpoints

  • Direct secure messaging: jbajwa588237@hisp.ehr.sutterhealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1306000922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283171",
            "telephone_number": "619-432-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283171",
            "telephone_number": "619-432-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "JASWINDER",
        "middle_name": "PAL SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-13",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD443751",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A118049",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.