Individual provider Active NPI

Brijesh H Kadam, MD

  • Pediatric Adolescent Medicine Physician
  • Los Banos, CA
National Provider Identifier
1457545832
Registry record updated Nov 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
A109208 Issued in CA
Practice address
1253 W I St
Los Banos, CA 93635-3930
Phone
(209) 710-6333
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 13

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.

View all 13

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community Health 106 clinicians

Practice addresses (Care Compare)

9460 N Name Uno
Suite 110
Gilroy, CA 95020-3536
Phone (408) 729-9700

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
I20101011000182 CA Practitioner - Pediatric MedicinePractitioner - Family Practice 7719179662 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109208CAMDPediatric Adolescent Medicine Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Brijesh Kadam MD Inc. Adolescent Medicine CurrentSince Dec 1, 2019 Accepting new patients
Bay Area Community Health CurrentSince Feb 24, 2025 Accepting new patients
Bay Area Community Health CurrentSince Feb 24, 2025 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

9460 No Name Uno
Ste 110
Gilroy, CA 95020
Phone (408) 729-7900

1253 W I St
Los Banos, CA 93635
Phone (209) 710-6333

1650 S White Rd
San Jose, CA 95127
Phone (408) 928-5250

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: bkadam773455@direct.ochin.org
  • Direct secure messaging: bkadam95678@hisp.ehr.sutterhealth.org

NPPES NPI Registry

Updated by the provider on Nov 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X A109208 CA Primary

Addresses

Primary practice location

1253 W I St
Los Banos, CA 93635-3930

Mailing address

PO Box 2626
Los Banos, CA 93635-1726
Phone (305) 431-1652

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1457545832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2626",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936351726",
            "telephone_number": "305-431-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353930",
            "telephone_number": "209-710-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAM",
        "first_name": "BRIJESH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A109208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.