Prasanna Bastola, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A177433 Issued in CA

Practice address

1280 E Gibson Rd
Woodland, CA 95776-6315

Phone

(530) 650-4500

Fax

(530) 661-4416

NPI assigned

Jun 25, 2019

Sex

Female

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: prasanna.bastola@nvih.eclinicaldirectplus.com

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

• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889
  Medicare reassignment NPD
• Clinicas de Salud del Pueblo Inc.

  • Community/Retail Pharmacy
  • El Centro, CA
  • NPI 1962045872
  NPD
• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • Blythe, CA
  • NPI 1124115431
  NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1831750306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434510",
            "telephone_number": "951-599-8403",
            "fax_number": "951-766-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E GIBSON RD",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "957766315",
            "telephone_number": "530-650-4500",
            "fax_number": "530-661-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTOLA",
        "first_name": "PRASANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A177433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katina Barrera Downs-Naivalu, LPCC
• Katherine Barrett, LCSW
• Holidae Elayne Barrow, D.C.
• Andreas M Barth, P.T.
• Shannon Renee Barton, M.S. CCC-SLP
• Abigail Joy Basubas, PT
• Bay Area Community Services, Inc.
• Christine Beard, M.A.
• Jane Marie Beauchane Schmitt, MA SLP
• Joan Adelle Beesley

• Pediatrics Physician in Woodland, CA
• Providers in Woodland, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.