BALRAJ SINGH BAJWA PMHNP-BC, RN, CNL
NPI 1285191742
Nurse Practitioner - Psychiatric/Mental Health in San Jose, CA

Q: What is Balraj Bajwa's NPI number?

The NPI number for Balraj Bajwa is 1285191742. It was assigned to this individual provider in the NPPES registry on February 20, 2019.

Q: What is Balraj Bajwa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Balraj Bajwa was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 20, 2019PECOS EnrolledAccepts Medicare Assignment

2001 THE ALAMEDA, SAN JOSE, CA 95126(408) 261-7777(408) 259-2273 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2022, Feb 20, 2019 (2 updates tracked since 2019).

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About Balraj Singh Bajwa Pmhnp-bc, Rn, Cnl NPPES

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

BALRAJ SINGH BAJWA PMHNP-BC, RN, CNL (NPI 1285191742) is an individual psychiatric/mental health provider in San Jose, California, licensed in California (95020092) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285191742

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameBALRAJ SINGH BAJWACredential: PMHNP-BC, RN, CNL

Location Address2001 THE ALAMEDASan Jose, CA 95126-1136

Mailing Address2001 The AlamedaSan Jose, CA 95126-1136 · (669) 319-2621

Phone(408) 261-7777

Fax(408) 259-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 20, 2019

Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration

NPPES CertifiedAugust 3, 2022

✔ NPI 1285191742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95020092

Also ListedRegistered NurseTaxonomy 163W00000X · License 95172660 (CA)

2001 THE ALAMEDA, San Jose, CA 95126

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Balraj Singh Bajwa Pmhnp-bc, Rn, Cnl 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 ID8426445438

PECOS Enrollment IDI20220421001397

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 Balraj Bajwa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Momentum For Health

Same address

Psychologist

2001 THE ALAMEDA
San Jose, CA 95126

Reassigned Medicare billing, California enrollment
101 clinicians in this Medicare group

NPI 1265131726 (408) 510-6284

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95126 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 20

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

EDNA STOK

Student in an Organized Health Care Education/Training Program