Carolina Cernicica Bagga, M.D.
Individual provider Active NPI Pediatric Anesthesiology Physician · Morgan Hill, CA
NPI 1760735385 · NPPES record last updated Nov 15, 2017
Key facts
- NPI
- 1760735385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Anesthesiology Physician 207LP3000X
- License
- A120128 (CA)
- Practice address
- 16760 San Dimas LN
Morgan Hill, CA 95037-7541 - Phone
- (646) 742-7894
- NPI assigned
- Oct 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 17
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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 Anesthesia
Practice addresses (Care Compare)
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131
Hospital & facility affiliations
- El Camino Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150821014412 | CA | Practitioner - Anesthesiology | 9335454164 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120128 | CA | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Anesthesia Medical Group of Santa Cruz, Inc. | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| University of California San Francisco | Current |
Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current |
Accepting new patients | |
| Cep America - Anesthesia PC | Current |
Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| University Anesthesia Medical Group | Current |
Accepting new patients | |
| El Camino Anesthesia | Current |
Accepting new patients | |
| Cep America - Anesthesia PC | Current |
Accepting new patients | |
| UCSF Medical Group Business Services | Current |
Accepting new patients | |
| UCSF Medical Group Business Services | Current |
Accepting new patients | |
| County of Santa Clara | Current |
Accepting new patients | |
| County of Santa Clara | Current |
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) 851-7423
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
2490 Hospital Dr
Mountain View, CA 94040
Phone (650) 261-6861
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
#A632
San Francisco, CA 94143
Phone (415) 473-1000
400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163
400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
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
- cbagga125552@santaclaravalley.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Anesthesiology Physician | 207LP3000X | A120128 | CA | Yes |
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
- Carolina Victoria Cernicica
Other providers in Morgan Hill, CA
- Avail Health Medical Group PC
- Avail Health, a Professional Nursing Corporation
- Jeffery Edward Awender
- Axis Wound Care Corporation
- Heidy Selen Ayala
- Carolyn Joy Baker Connor
- Erin Bakke
- Nelly Yosseline Balderas Herrera
- Yvonne Bannister
- Alexander Richard Barbaran
All providers in Morgan Hill, CA · Pediatric Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.