Individual provider Active NPI

Carolina Cernicica Bagga, M.D.

  • Pediatric Anesthesiology Physician
  • Morgan Hill, CA
National Provider Identifier
1760735385
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
A120128 Issued in CA
Practice address
16760 San Dimas LN
Morgan Hill, CA 95037-7541
Phone
(646) 742-7894
NPI assigned
Oct 19, 2012
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Anesthesiology Physician 207LP3000X A120128 CA Primary

Addresses

Primary practice location

16760 San Dimas LN
Morgan Hill, CA 95037-7541

Mailing address

16760 San Dimas LN
Morgan Hill, CA 95037-7541
Phone (646) 742-7894

Other names 1

  • Carolina Victoria Cernicica Former name

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
I20150821014412 CA Practitioner - Anesthesiology 9335454164 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino AnesthesiaGroup PAC ID 7517360639, 61 clinicians

Practice addresses (Care Compare)

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120128CAMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
Cep America - Anesthesia PC CurrentSince Jan 1, 2018 Accepting new patients
University of California San Francisco CurrentSince Dec 1, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 1, 2017 Accepting new patients
El Camino Anesthesia CurrentSince Jul 1, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 1, 2017 Accepting new patients
University Anesthesia Medical Group CurrentSince Dec 1, 2017 Accepting new patients
Cep America - Anesthesia PC CurrentSince Jan 1, 2018 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
University of California San Francisco CurrentSince Dec 1, 2017 Accepting new patients
County of Santa Clara Current Accepting new patients
Cep America - Anesthesia, PC Current Accepting new patients
University of California San Francisco Current Accepting new patients
Anesthesia Medical Group of Santa Cruz, Inc. CurrentSince Sep 1, 2015 Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients
County of Santa Clara CurrentSince Mar 1, 2020 Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

2490 Hospital Dr
Mountain View, CA 94040
Phone (650) 261-6861

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

525 South Dr
Ste 211
Mountain View, CA 94040
Phone (408) 495-5770

400 Forest Ave
Palo Alto, CA 94301
Phone (650) 289-1208

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: cbagga125552@santaclaravalley.direct-ci.net

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1760735385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16760 SAN DIMAS LN",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377541",
            "telephone_number": "646-742-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16760 SAN DIMAS LN",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950377541",
            "telephone_number": "646-742-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGGA",
        "first_name": "CAROLINA",
        "middle_name": "CERNICICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "A120128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINA",
            "last_name": "CERNICICA",
            "middle_name": "VICTORIA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgan Hill, CA

Sources for this page

Verify at the official NPI Registry.