Active NPI
Bina Adigopula, M.D.
- Pediatrics Physician
- La Mesa, CA
National Provider Identifier
1982686200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A45273
- 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, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A45273 | Other | CA | MEDICAL BOARD LICENCE |
| 1982686200 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45273 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Dermatopathology, Inc. | Pediatrics | Current | 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.
-
dba SkyMD
- Dermatopathology Physician
- San Diego, CA
- NPI 1922312248
Pediatrics
-
dba Grossmont Pediatrics, Inc.
- Pediatrics Physician
- La Mesa, CA
- NPI 1780865352
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
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
- Laura Doley Adams, DNP, FNP-C, CPNP-PC
- Mona Adams, DDS, MS, MSD
- Adde Transport LLC
- Hashim Sufi Adde
- Louis Scott Addleson, PPS, LEP3400
- Jeradhine Adriano
- Adult Home Health Care (All Heart Home Care)
- Advance Medical Supply
- Aesthetic Arts Institute of Plastic Surgery LLC (La Mesa Surgical Center)
- Aesthetic Arts Institute of Plastic Surgery, LLC (La Mesa Medical & Surgical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.