DR. SANJAY KUMAR AGARWAL M.D.
NPI 1255489720
Obstetrics & Gynecology - Reproductive Endocrinology in La Jolla, CA

Q: What is Sanjay Agarwal's NPI number?

The NPI number for Sanjay Agarwal is 1255489720. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Sanjay Agarwal's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Agarwal was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 January 08, 2007PECOS EnrolledAccepts Medicare Assignment

8910 VILLA LA JOLLA DR, LA JOLLA, CA 92037(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Mar 4, 2020, Aug 14, 2017 (3 updates tracked since 2017).

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About Dr. Sanjay Kumar Agarwal M.d. NPPES

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

DR. SANJAY KUMAR AGARWAL M.D. (NPI 1255489720) is an individual reproductive endocrinology provider in La Jolla, California, licensed in California (A52018) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1255489720

Entity TypeIndividualMale

Primary Taxonomy207VE0102X

Provider Legal NameDR. SANJAY KUMAR AGARWALCredential: M.D.

Location Address8910 VILLA LA JOLLA DRLa Jolla, CA 92037-1701

Mailing AddressFile 57326Los Angeles, CA 90074-7326

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJanuary 8, 2007

Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1255489720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians

Taxonomy Code207VE0102X

License✔ Licensed in CA · A52018

Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A52018 (CA)

8910 VILLA LA JOLLA DR, La Jolla, CA 92037

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Secondary Practice Locations 2

Location 19333 Genesee AveSan Diego, CA 92121-2111 · Phone (800) 926-8273 · Fax (888) 539-8781

Location 24168 Front StSan Diego, CA 92103-2030 · Phone (800) 926-8273 · Fax (888) 539-8781

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanjay Kumar Agarwal M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082730304

PECOS Enrollment IDI20100923001386

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW MICHAEL WAYMENT MD

Emergency Medicine