Malwa Doctors, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

116970 Issued in CA

Legal business name

MALWA DOCTORS, INC

Practice address

6049 Douglas Blvd Ste 21
Granite Bay, CA 95746

Phone

(916) 215-1757

NPI assigned

May 13, 2015

Organization subpart

No

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

Authorized official

Name

Harkirat S Saggu, MDNPI 1306053392

Title

Ceo

Phone

(916) 215-1495

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harkirat Singh Saggu, MD

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1306053392
  Medicare reassignment Authorized official
• Gurcharanjit Kaur

  • Family Nurse Practitioner
  • Dixon, CA
  • NPI 1033511266
  Medicare reassignment NPD
• Edgar Meltiades Catingub, M.D.

  • Forensic Psychiatry Physician
  • Sacramento, CA
  • NPI 1619950870
  NPD (past)

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1841678539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E ROSEVILLE PKWY # 140-217",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613078",
            "telephone_number": "916-215-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 DOUGLAS BLVD STE 21",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "95746",
            "telephone_number": "916-215-1757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Courtside Dr",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956617918",
            "country_code": "US",
            "telephone_number": "916-215-1757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Auburn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958414100",
            "country_code": "US",
            "telephone_number": "916-215-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MALWA DOCTORS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "SAGGU",
        "authorized_official_first_name": "HARKIRAT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-215-1495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "116970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dylan Manalo
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• Kanah-Kila Marquez
• Lilly Leona Martel

• Psychiatry Physician in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.