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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KANWARDEEP BAJWA MD
NPI 1104408822
Physical Medicine & Rehabilitation - Pain Medicine in Laguna Hills, CA

Active since April 22, 2021PECOS Enrolled
24953 PASEO DE VALENCIA STE 5A, LAGUNA HILLS, CA 92653(949) 297-3838(949) 297-3839 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Sep 9, 2026, Sep 4, 2026 and 1 more (4 updates tracked since 2021).

About Kanwardeep Bajwa Md NPPES

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

KANWARDEEP BAJWA MD (NPI 1104408822) is an individual pain medicine provider in Laguna Hills, California, licensed in California (A209627) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104408822
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameKANWARDEEP BAJWACredential: MD
Location Address24953 PASEO DE VALENCIA STE 5ALaguna Hills, CA 92653-4338
Mailing AddressPo Box 6850Laguna Niguel, CA 92607-6850 · (949) 297-3838 · Fax (949) 297-3839
Phone(949) 297-3838
Fax(949) 297-3839
Sole ProprietorNo
Enumeration DateApril 22, 2021
Last NPPES UpdateOctober 14, 20264 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1104408822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in CA · A209627
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
24953 PASEO DE VALENCIA STE 5A, Laguna Hills, CA 92653
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Secondary Practice Locations 4

Location 125982 Pala Ste 280Mission Viejo, CA 92691-6729 · Phone (949) 297-3838 · Fax (949) 297-3839
Location 21310 W Stewart Dr Ste 608Orange, CA 92868-3857 · Phone (949) 297-3838 · Fax (949) 297-3839
Location 3647 Camino De Los MaresSan Clemente, CA 92673-2825 · Phone (949) 297-3838 · Fax (949) 297-3839
Location 415785 Laguna Canyon Rd Ste 360Irvine, CA 92618-3183 · Phone (949) 297-3838 · Fax (949) 297-3839

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanwardeep Bajwa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kanwardeep Bajwa's NPI number?

The NPI number for Kanwardeep Bajwa is 1104408822. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Kanwardeep Bajwa located?

Kanwardeep Bajwa practices at 24953 Paseo De Valencia Ste 5A, Laguna Hills, CA 92653. The listed phone number is (949) 297-3838.

What is Kanwardeep Bajwa's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Kanwardeep Bajwa enrolled in Medicare?

Yes. Kanwardeep Bajwa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kanwardeep Bajwa was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.