Afshan Nuri Baig, MD
Individual provider Active NPI Pediatrics Physician · Brawley, CA
NPI 1417028630 · NPPES record last updated Dec 6, 2011
Key facts
- NPI
- 1417028630
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A49428 (CA)
- Practice address
- 900 Main St
Brawley, CA 92227-2630 - Phone
- (760) 344-6471
- Fax
- (760) 344-8410
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071201000178 | CA | Practitioner - Pediatric Medicine | 4880783695 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A49428 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas de Salud del Pueblo, Inc | Current | Accepting new patients | |
| Clinicas de Salud del Pueblo Inc. | Current |
Accepting new patients | |
| Clinicas de Salud del Pueblo, Inc | Current |
Accepting new patients |
Locations
900 Main St
Brawley, CA 92227
Phone (760) 344-6471
223 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-2020
852 E Danenberg Dr
El Centro, CA 92243
Phone (760) 352-2257
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A49428 | CA | Yes |
Addresses
Primary practice location
900 Main St
Brawley, CA 92227-2630
Mailing address
1166 K St
Brawley, CA 92227-2737
Phone (760) 344-6471
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC03830F | Medicaid | CA |
NPI Registry JSON
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1417028630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 K ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272737",
"telephone_number": "760-344-6471",
"fax_number": "760-344-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272630",
"telephone_number": "760-344-6471",
"fax_number": "760-344-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIG",
"first_name": "AFSHAN",
"middle_name": "NURI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A49428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC03830F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
- Sergio Arturo Armenta
- David J Ayala
- Eunice Ayon
- Fady Ayoub
- Justyn Loya Babb
- Mirza Rafiuddin Baig
- Baig,Admani & Kapoor
- Shirish K Balachandra
- Barnes Orthopedic National Enterprises of California, PC
- Donald Lee Barniske
All providers in Brawley, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.