Active NPI
Shruti Aggarwal, MBBS
- Family Medicine Physician
- Red Bluff, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C134645
- Practice address
- 2450 Sister Mary Columba Dr
Red Bluff, CA 96080-4356 - Phone
- (530) 527-0414
- NPI assigned
- Jun 27, 2007
- Last updated
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60299764 | WA | |
| Family Medicine Physician | 207Q00000X | C134645 | CA | Primary |
Addresses
Primary practice location
2450 Sister Mary Columba Dr
Red Bluff, CA 96080-4356
Mailing address
2450 Sister Mary Columba Dr
Red Bluff, CA 96080-4356
Phone (530) 527-0414
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1062 S K St
Tulare, CA 93274-6422
Phone (877) 960-3426
1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (559) 781-7242
1850 Whitson St
Selma, CA 93662-3609
Phone (877) 960-3426
201 E Lakeview Ave
Woodlake, CA 93286-1301
Phone (559) 564-0100
263 S W St
Tulare, CA 93274-3411
Phone (559) 737-4700
30924 E Kings Canyon Rd
Squaw Valley, CA 93675-9601
Phone (877) 960-3426
3837 N Clark St
Fresno, CA 93726-4806
Phone (877) 960-3426
501 N Bride St
Visalia, CA 93291-5014
Phone (559) 734-1939
682 E Visalia Rd
Farmersville, CA 93223-1641
Phone (877) 960-3426
7060 N Recreation Ave
Fresno, CA 93720-8022
Phone (877) 960-3426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C134645 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Tri-Cities Community Health | Past | Accepting new patients | |
| Tri Cities Community Health | Past | Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
1666 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 428-5533
263 S West St
Tulare, CA 93274
Phone (844) 767-0540
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCECCA
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
- Federally Qualified Health Center (FQHC)
- Pixley, CA
- NPI 1033661558
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Visalia, CA
- NPI 1730502725
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1659995504
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225145105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1902003734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 SISTER MARY COLUMBA DR",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960804356",
"telephone_number": "530-527-0414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 SISTER MARY COLUMBA DR",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960804356",
"telephone_number": "530-527-0414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGGARWAL",
"first_name": "SHRUTI",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60299764",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C134645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Bluff, CA
- Lynda Jean Abel, LVN
- Absolute Mobility Driver
- Angela Kristine Ackley, LCSW129002
- Adventist Health California Medical Group, Inc. (Coon Joint Replacement Institute)
- Aegis Treatment Centers, LLC
- Sean W Agy, DENTAL HYGIENIST
- Saeid Ahmadpour, MD
- Asha Devi Aker, LVN
- Shafqat M. Akhtar, MD
- Bassam Taha Al-Rawi, DMD, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.