Individual provider Active NPI

Anita Bajpai, MD

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1366476624
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A78368 Issued in CA
Practice address
355 Placentia Ave Ste 102
Newport Beach, CA 92663-3301
Phone
(949) 574-1091
Fax
(949) 574-1097
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A78368 CA Primary

Addresses

Primary practice location

355 Placentia Ave Ste 102
Newport Beach, CA 92663-3301

Mailing address

355 Placentia Ave Ste 102
Newport Beach, CA 92663-3301
Phone (949) 574-1091

Other practice location 1

1260 15th St Ste 1109
Santa Monica, CA 90404-1146
Phone (424) 785-9099

Other identifiers 1

IdentifierTypeStateIssuer
00A783680MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78368CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1366476624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633301",
            "telephone_number": "949-574-1091",
            "fax_number": "949-262-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PLACENTIA AVE STE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633301",
            "telephone_number": "949-574-1091",
            "fax_number": "949-574-1097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 15th St Ste 1109",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041146",
            "country_code": "US",
            "telephone_number": "424-785-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAJPAI",
        "first_name": "ANITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A783680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.