Organization Active NPI

Jagan N. Bansal, M.D., Inc.

  • Internal Medicine Physician
  • Paramount, CA
National Provider Identifier
1669703559
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A34128 Issued in CA
Legal business name
JAGAN N. BANSAL, M.D., INC.
Practice address
16660 Paramount Blvd
Suite 100
Paramount, CA 90723-5433
Phone
(562) 259-1200
NPI assigned
Jan 18, 2010
Last updated
Jan 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Authorized official

Name
Dr. Jagan Nath Bansal, M.D.NPI 1932102456
Title
Ceo
Phone
(323) 478-1101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100339 CA
Internal Medicine Physician 207R00000X A34128 CA Primary

Addresses

Primary practice location

16660 Paramount Blvd
Suite 100
Paramount, CA 90723-5433

Mailing address

5540 N Figueroa St
Los Angeles, CA 90042-4120
Phone (323) 478-1101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263772800000",
    "number": "1669703559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424120",
            "telephone_number": "323-478-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16660 PARAMOUNT BLVD",
            "address_2": "SUITE 100",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235433",
            "telephone_number": "562-259-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGAN N. BANSAL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A",
        "authorized_official_last_name": "BANSAL",
        "authorized_official_first_name": "JAGAN",
        "authorized_official_middle_name": "NATH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-478-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100339",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.