DR. NEHA BIJJALA DO
NPI 1598414872
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 22, 2022PECOS Enrolled
4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(562) 209-9120 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 15, 2025, Aug 14, 2024 (2 updates tracked since 2024).

About Dr. Neha Bijjala Do NPPES

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

DR. NEHA BIJJALA DO (NPI 1598414872) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598414872
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. NEHA BIJJALACredential: DO
Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105
Mailing Address4077 Fifth Ave # Mer-35San Diego, CA 92103-2105
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateAugust 15, 20252 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1598414872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal MedicineTaxonomy 207R00000X · License 21486 (CA)
4077 FIFTH AVE # MER-35, San Diego, CA 92103

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. Neha Bijjala Do 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.

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.

Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE # MER-35
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598414872, enumerated as an "individual" on March 22, 2022.

The provider is located at 4077 FIFTH AVE # MER-35 SAN DIEGO, CA 92103 and the phone number is (562) 209-9120.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.