NPIMap

Individual provider Active NPI

Jagan Bansal, M.D.

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1932102456
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A34128 Issued in CA
Practice address
5540 N Figueroa St
Los Angeles, CA 90042-4120
Phone
(323) 478-1101
NPI assigned
May 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A34128 CA Primary

Addresses

Primary practice location

5540 N Figueroa St
Los Angeles, CA 90042-4120

Mailing address

5540 N Figueroa St
Los Angeles, CA 90042-4120
Phone (323) 478-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000475 CA Practitioner - Pulmonary Disease 9335187111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5540 N Figueroa St
Los Angeles, CA 90042-4120
Phone (323) 478-1101

Hospital & facility affiliations

  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • East Los Angeles Doctors Hospital Hospital, Los Angeles, CA, CCN 050641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34128CAMDGeneral Practice Dentistry
A34128CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mervat S. Bakhoum, D.D.S. Past Accepting new patients
Jagan N. Bansal, M.D., Inc. Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Camden Postacute Care, IncCampbell, CA, CCN 555838 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%)
Corporate Director (33.33%)		 Apr 17, 2023
Mar 1, 2014
Fresno Postacute CareFresno, CA, CCN 555426 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Corporate Director		 Aug 30, 2023
Dec 10, 2015
Northgate Postacute CareSan Rafael, CA, CCN 056430 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%)
Corporate Director (50%)		 Apr 17, 2023
Mar 30, 2015
Ceres Postacute CareCeres, CA, CCN 055935 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%)
Corporate Director (50%)		 Apr 17, 2023
Mar 30, 2015
North Starr Postacute CareTurlock, CA, CCN 555347 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%)
Corporate Director (50%)		 Apr 17, 2023
Mar 30, 2015
Main West Postacute CareTurlock, CA, CCN 055475 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%)
Corporate Director (50%)		 Apr 17, 2023
Mar 30, 2015
Riverside Postacute CareRiverside, CA, CCN 555330 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%)
Corporate Director (50%)		 Apr 17, 2023
Nov 23, 2015
Northvine Postacute CareSanta Rosa, CA, CCN 056259 Skilled nursing facility 5% Or Greater Indirect Ownership Interest (50%)
Corporate Director (50%)		 Apr 17, 2023
Jun 15, 2017
Thrive Rehabilitation of PearlandPearland, TX, CCN 676436 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%) Oct 1, 2023

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1932102456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5540 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424120",
            "telephone_number": "323-478-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424120",
            "telephone_number": "323-478-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANSAL",
        "first_name": "JAGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A34128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.