Bajwa Enterprises

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BAJWA ENTERPRISES

Practice address

30200 Agoura Rd Ste 150
Agoura Hills, CA 91301-5427

Phone

(805) 278-1450

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Mandeep Bajwa, MD

Title

President

Phone

(805) 278-1450

Specialties & licenses 1

Addresses

Other names 1

• Purify Health Doing business as

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1386028629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 150",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015427",
            "telephone_number": "805-278-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 150",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015427",
            "telephone_number": "805-278-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAJWA ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-278-1450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purify Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.