1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Family Medicine
  6. NPI Profile

JAGAN N. BANSAL, M.D., INC.
NPI 1013099936
Family Medicine in Los Angeles, CA

Active since October 19, 2006
443 S SOTO ST, LOS ANGELES, CA 90033(323) 263-6103(323) 263-2004 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jagan N. Bansal, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAGAN N. BANSAL, M.D., INC. (NPI 1013099936) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since October 2006. The organization lists Jagan Nath Bansal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013099936
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJAGAN N. BANSAL, M.D., INC.
Location Address443 S SOTO STLos Angeles, CA 90033-4315
Mailing Address5540 N Figueroa StLos Angeles, CA 90042-4120 · (323) 478-1101 · Fax (323) 255-2745
Phone(323) 263-6103
Fax(323) 263-2004
Organization SubpartNo
Authorized OfficialJagan Nath BansalCeo · (323) 478-1101
Enumeration DateOctober 19, 2006
Last NPPES UpdateSeptember 15, 2011
✔ NPI 1013099936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
443 S SOTO ST, Los Angeles, CA 90033
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINW15123ACA
MedicaidGR0100470CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jagan N. Bansal, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050421000957Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Jagan N. Bansal, M.D., Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Maneesh Bansal, M.D.
Internal Medicine
NPI 1063615102
5540 N FIGUEROA ST
Los Angeles, CA 90042
(323) 478-1101
✔ PECOS4.9 mi
Jagan Bansal, M.D.
Pulmonary Disease
NPI 1932102456
5540 N FIGUEROA ST
Los Angeles, CA 90042
(323) 478-1101
✔ PECOS✔ Accepts Medicare4.9 mi
Amy Bansal, M.D.
Otolaryngology
NPI 1437569613
2080 CENTURY PARK E STE 710
Los Angeles, CA 90067
(310) 715-3237
✔ PECOS✔ Accepts Medicare12 mi
David Kay, DO
Family Practice
NPI 1205254992
15200 RAYNETA DR
Sherman Oaks, CA 91403
(413) 626-3610
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jagan N. Bansal, M.D., Inc.'s NPI number?

The NPI number for Jagan N. Bansal, M.D., Inc. is 1013099936. It was assigned to this organization in the NPPES registry on October 19, 2006.

Where is Jagan N. Bansal, M.D., Inc. located?

Jagan N. Bansal, M.D., Inc. is located at 443 S Soto St, Los Angeles, CA 90033. The listed phone number is (323) 263-6103.

What is Jagan N. Bansal, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jagan N. Bansal, M.D., Inc. enrolled in Medicare?

Yes. Jagan N. Bansal, M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Jagan N. Bansal, M.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jagan N. Bansal, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Jagan N. Bansal, M.D., Inc., in Family Practice, Internal Medicine, Otolaryngology and Pulmonary Disease. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jagan N. Bansal, M.D., Inc. was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.