Shubhangi Gaikwad, M.D.

Individual provider Active NPI Pediatric Emergency Medicine (Emergency Medicine) Physician · Loma Linda, CA

NPI 1447528385 · NPPES record last updated Feb 21, 2017

Key facts

NPI
1447528385
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X
License
A128376 (CA)
Practice address
11234 Anderson St
Pediatric Emergency Department
Loma Linda, CA 92354-2804
Phone
(909) 558-8000
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Medicare Care Compare profile

Specialty
Pediatric Medicine
Also: Emergency Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - California (1,278 clinicians)

Practice addresses (Care Compare)

420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 327-1792

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 IDStateProvider typePAC IDDetails
I20160820000213 CA Practitioner - Pediatric Medicine
Practitioner - Emergency Medicine
7113212879 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A128376CAMDPediatric Emergency Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current
since Jul 1, 2016
Accepting new patients
Cep America-California Current
since Jul 1, 2025
Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current
since Jul 1, 2016
Accepting new patients
Cep America - California Current Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Current Accepting new patients
Cep America-California Current
since Jul 1, 2025
Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Current
since Jun 1, 2017
Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Current
since Jun 1, 2017
Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X A128376 CA Yes

Addresses

Primary practice location

11234 Anderson St
Pediatric Emergency Department
Loma Linda, CA 92354-2804

Mailing address

11234 Anderson St
Pediatric Emergency Department
Loma Linda, CA 92354-2804
Phone (909) 558-8000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 21, 2017.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1447528385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "PEDIATRIC EMERGENCY DEPARTMENT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "PEDIATRIC EMERGENCY DEPARTMENT",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIKWAD",
        "first_name": "SHUBHANGI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "CA",
            "license": "A128376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

All providers in Loma Linda, CA · Pediatric Emergency Medicine (Emergency Medicine) Physician in California

Sources for this page

Verify at the official NPI Registry.