Baldeep Singh Pabla, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

85202 Issued in CA

Practice address

1671 The Alameda Ste 300
San Jose, CA 95126-2222

Phone

(408) 239-4574

Fax

(408) 320-4252

NPI assigned

Jul 16, 2014

Last updated

May 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peninsula Healthcare Connection, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palo Alto, CA
  • NPI 1295935799
  Medicare reassignment NPD
• Peninsula Healthcare Connection, Inc.

  • Case Management Agency
  • Palo Alto, CA
  • NPI 1033516828
  NPD

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1649687104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 THE ALAMEDA STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262222",
            "telephone_number": "408-239-4574",
            "fax_number": "408-320-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 THE ALAMEDA STE 300",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262222",
            "telephone_number": "408-239-4574",
            "fax_number": "408-320-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABLA",
        "first_name": "BALDEEP",
        "middle_name": "SINGH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-16",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "85202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Izabela Ozlanska, M.S.
• Mario Ozuna-Sanchez
• P S Chu, DDS, Inc (3 star dental center)
• P&M Health Acupuncture
• PA Medical Group Inc (Dba: Pediatric Associates)
• Desiree Pablico
• Rose Mae Mangahas Pablo
• Pace Clinic
• Pace Physical Therapy
• Erin Allyn Pace, PHARMD

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.