Individual provider Active NPI

Manmohan Singh Bajwa, DDS

  • Dentist
  • Fairfield, CA
National Provider Identifier
1528113016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45816 Issued in CA
Practice address
5041 Business Center Dr
Suite 106
Fairfield, CA 94534-1786
Phone
(707) 863-9950
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45816 CA Primary

Addresses

Primary practice location

5041 Business Center Dr
Suite 106
Fairfield, CA 94534-1786

Mailing address

5041 Business Center Dr
Suite 106
Fairfield, CA 94534-1786
Phone (707) 863-9950

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45816CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mohan Bajwa DDS Inc Current Accepting new patients

Locations

5041 Business Center Dr
Ste 106
Fairfield, CA 94534
Phone (707) 863-9950

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528113016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 BUSINESS CENTER DR",
            "address_2": "SUITE 106",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341786",
            "telephone_number": "707-863-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 BUSINESS CENTER DR",
            "address_2": "SUITE 106",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341786",
            "telephone_number": "707-863-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "MANMOHAN",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.