NPIMap

Individual provider Active NPI

Amit Bawa, M.D.

  • Family Medicine Physician
  • Redding, CA
National Provider Identifier
1629206453
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A127953 Issued in CA
Practice address
1836 Gold St
Redding, CA 96001-1817
Phone
(702) 453-3799
Fax
(702) 453-5741
NPI assigned
Jul 1, 2009
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A127953 CA Primary

Addresses

Primary practice location

1836 Gold St
Redding, CA 96001-1817

Mailing address

PO Box 991064
Redding, CA 96099-1064
Phone (702) 453-3799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150514001776 CA Practitioner - Family PracticePractitioner - Internal Medicine 4486801677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1355 E St
Suite 200
Redding, CA 96001-0801
Phone (530) 605-4260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.8 of 100Reported as individual
Quality
80.29
Improvement activities
40
Cost
75.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127953CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amit Bawa MD Inc Family Medicine CurrentSince Apr 14, 2020 Accepting new patients
Shasta Regional Medical Group Inc Current Accepting new patients
Shasta Regional Medical Group, Inc Family Medicine CurrentSince Feb 1, 2017 Accepting new patients
Orna Gil MD Inc Current Accepting new patients

Locations

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

1836 Gold St
Redding, CA 96001
Phone (530) 241-6756

2490 Court St
Redding, CA 96001
Phone (530) 246-0600

Interoperability endpoints

  • Direct secure messaging: amit.bawa.p3@direct.smmg.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rockport Healthcare ServicesRedding, CA, CCN 056258 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1629206453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991064",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991064",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 GOLD ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011817",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWA",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A127953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.