Individual provider Active NPI

Bina Adigopula, M.D.

  • Pediatrics Physician
  • La Mesa, CA
National Provider Identifier
1982686200
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A45273 Issued in CA
Practice address
6942 University Ave
#A
La Mesa, CA 91942-5963
Phone
(619) 698-2184
Fax
(619) 698-2084
NPI assigned
Nov 14, 2005
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A45273 CA Primary

Addresses

Primary practice location

6942 University Ave
#A
La Mesa, CA 91942-5963

Mailing address

6942 University Ave
#A
La Mesa, CA 91942-5963
Phone (619) 698-2184

Other identifiers 2

IdentifierTypeStateIssuer
00A45273OtherCAMEDICAL BOARD LICENCE
1982686200MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227003124 CA Practitioner - Pediatric Medicine 5698125094 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45273CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Dermatopathology, Inc. Pediatrics CurrentSince Nov 13, 2023 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Bina Adigopula, MD, Inc. Pediatrics Past Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients

Locations

6605 Nancy Ridge Dr
San Diego, CA 92121
Phone (858) 750-2983

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1982686200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6942 UNIVERSITY AVE",
            "address_2": "#A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425963",
            "telephone_number": "619-698-2184",
            "fax_number": "619-698-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6942 UNIVERSITY AVE",
            "address_2": "#A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425963",
            "telephone_number": "619-698-2184",
            "fax_number": "619-698-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIGOPULA",
        "first_name": "BINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A45273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD LICENCE",
            "identifier": "00A45273",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982686200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.