DR. VIJAYA BANSAL M.D.
NPI 1174665756
Specialist in Stockton, CA

Q: What is Vijaya Bansal's NPI number?

The NPI number for Vijaya Bansal is 1174665756. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Q: What is Vijaya Bansal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Vijaya Bansal was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 12, 2007PECOS Enrolled

1617 N. CALIFORNIA ST., SUITE 2A, STOCKTON, CA 95204(209) 466-8546(209) 466-3335 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Vijaya Bansal M.d. NPPES

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

DR. VIJAYA BANSAL M.D. (NPI 1174665756) is an individual specialist in Stockton, California, licensed in California (A69278) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174665756

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. VIJAYA BANSALCredential: M.D.

Location Address1617 N. CALIFORNIA ST., SUITE 2AStockton, CA 95204

Mailing AddressP.o. Box 1090Lodi, CA 95241-1090 · (209) 334-1800 · Fax (209) 334-1430

Phone(209) 466-8546

Fax(209) 466-3335

Sole ProprietorNo

Enumeration DateFebruary 12, 2007

Last NPPES UpdateApril 15, 2009

✔ NPI 1174665756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A69278

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A69278 (CA)

Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License A69278 (CA)

1617 N. CALIFORNIA ST., Stockton, CA 95204

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Other Identifiers 2

Medicare UPINF90307CA

Medicare PINZZZ14503ZCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vijaya Bansal M.d. 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 Vijaya Bansal's NPI number?

The NPI number for Vijaya Bansal is 1174665756. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Vijaya Bansal located?

Vijaya Bansal practices at 1617 N. California St. Suite 2A, Stockton, CA 95204. The listed phone number is (209) 466-8546.

What is Vijaya Bansal's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Vijaya Bansal enrolled in Medicare?

Yes. Vijaya Bansal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vijaya Bansal was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.