David B Bagtas Jr., NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95002284 Issued in CA

Practice address

4059 E Olympic Blvd
Los Angeles, CA 90023-3330

Phone

(323) 881-2675

Fax

(323) 881-2615

NPI assigned

May 20, 2016

Sex

Male

Sole proprietor

No

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arinder Chadha, M.D., Inc.Group PAC ID 3971640608, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Arinder Chadha MD Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1821220989
  Medicare reassignment Care Compare group NPD
• Greater Los Angeles Oncology Medical Corporation

  • Hematology & Oncology Physician
  • Los Angeles, CA
  • NPI 1295746394
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Alta Los Angeles Hospital, Inc

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1114132685

  Hospital

  Care Compare affiliation
• Alta Los Angeles Hospitals, Inc.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922001809
  Care Compare affiliation

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1851748743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W ELK AVE APT 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041521",
            "telephone_number": "818-637-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 E OLYMPIC BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900233330",
            "telephone_number": "323-881-2675",
            "fax_number": "323-881-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGTAS",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni Bagourdi, PH.D.
• Arpine Bagramyan
• Anju Bagrodia
• Caroline Bagshaw, DVM
• Janice Bagsic
• Melissa Joann Bagwell Weeding, PSY.D
• Ashley Bagwell, AMFT
• Mariama Umeh Bah
• Timothy Bahadoor
• Shah Bahador

• Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.