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MANDEEP SINGH BAJWA MD
NPI 1720615867
Pediatrics in San Diego, CA

Active since March 26, 2020PECOS Enrolled
3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123(858) 966-6764 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2024, Aug 22, 2023, Jul 25, 2023 and 1 more (4 updates tracked since 2020).

About Mandeep Singh Bajwa Md NPPES

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

MANDEEP SINGH BAJWA MD (NPI 1720615867) is an individual pediatrics provider in San Diego, California, licensed in California (186551) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720615867
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMANDEEP SINGH BAJWACredential: MD
Location Address3020 CHILDRENS WAY # MC5124San Diego, CA 92123-4223
Mailing Address3020 Childrens Way # Mc5124San Diego, CA 92123-4223 · (858) 966-6764
Phone(858) 966-6764
Sole ProprietorNo
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 8, 20244 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1720615867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 186551
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3020 CHILDRENS WAY # MC5124, San Diego, CA 92123
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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 (PECOS)

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

Family Health Centers Of San Diego Inc
3.3 mi
Federally Qualified Health Center (FQHC)
4094 4TH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1629456900 (619) 515-2545

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 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

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.

EMILY BONTRAGER MD
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
MARISSA CALDWELL
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
DREW MATSUURA
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
KALEY ANN GROOMS MD
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (585) 626-0782
MARC ALAIN DUROCHER MD
Pediatrics
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
LAUREN NICOLE ARONSON
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
BRANDON BRIZUELA
Student in an Organized Health Care Education/Training Program
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764
JESSICA TRAVIS MD
Pediatrics
3020 CHILDRENS WAY # MC5124
SAN DIEGO, CA 92123
San Diego County (858) 966-6764

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 Mandeep Bajwa's NPI number?

The NPI number for Mandeep Bajwa is 1720615867. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Mandeep Bajwa located?

Mandeep Bajwa practices at 3020 Childrens Way # Mc5124, San Diego, CA 92123. The listed phone number is (858) 966-6764.

What is Mandeep Bajwa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mandeep Bajwa enrolled in Medicare?

Yes. Mandeep Bajwa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mandeep Bajwa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandeep Bajwa reassigns Medicare benefits to Family Health Centers Of San Diego Inc (San Diego, 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 Mandeep Bajwa'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 Mandeep Bajwa was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.