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

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: November 08, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Vijaya Bansal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles Auditor Controller
286 mi
Clinic/Center
335 E AVENUE I
Lancaster, CA 93535
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of Los Angeles
  • 1,939 clinicians in this Medicare group
NPI 1366453045 (661) 948-8581

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 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.

Which organization bills Medicare for Vijaya Bansal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijaya Bansal reassigns Medicare benefits to County Of Los Angeles Auditor Controller (Lancaster, CA). The 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 Vijaya Bansal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.