1. Home
  2. Directory
  3. California
  4. Woodland
  5. Pediatrics
  6. NPI Profile

DR. PRASANNA BASTOLA MD
NPI 1831750306
Pediatrics in Woodland, CA

Active since June 25, 2019PECOS Enrolled
1280 E GIBSON RD, WOODLAND, CA 95776(530) 650-4500(530) 661-4416 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Apr 10, 2024, Oct 28, 2022 (3 updates tracked since 2022).

About Dr. Prasanna Bastola Md NPPES

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

DR. PRASANNA BASTOLA MD (NPI 1831750306) is an individual pediatrics provider in Woodland, California, licensed in California (A177433) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831750306
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. PRASANNA BASTOLACredential: MD
Location Address1280 E GIBSON RDWoodland, CA 95776-6315
Mailing Address1023 E Florida AveHemet, CA 92543-4510 · (951) 599-8403 · Fax (951) 766-0930
Phone(530) 650-4500
Fax(530) 661-4416
Sole ProprietorYes
Enumeration DateJune 25, 2019
Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1831750306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A177433
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.
1280 E GIBSON RD, Woodland, CA 95776
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prasanna Bastola 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 Prasanna Bastola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinicas De Salud Del Pueblo Inc.
432 mi
Federally Qualified Health Center (FQHC)
1023 E FLORIDA AVE
Hemet, CA 92543
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
NPI 1033593108 (951) 599-8403

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 95776 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 12

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

DR. SHALINI LATA MIDDLETON PSYD, LMFT
Marriage & Family Therapist
1280 E GIBSON RD
WOODLAND, CA 95776
Yolo County (530) 650-4500
WENDY MARIE BROOKS LMFT
Marriage & Family Therapist
1280 E GIBSON RD
WOODLAND, CA 95776
Yolo County (530) 661-4400
MRS. MARIA JOSEFINA SANTANA-ANDRADE PA-C
Physician Assistant (Medical)
1280 E GIBSON RD
WOODLAND, CA 95776
Yolo County (916) 247-3230
NORTHERN VALLEY INDIAN HEALTH
Clinic/Center
1280 E GIBSON RD
WOODLAND, CA 95776
Yolo County (530) 207-5499
SHOUA LOR
Nurse Practitioner (Family)
1280 E GIBSON RD
WOODLAND, CA 95776
Yolo County (530) 650-4500
JANIS HARO
Marriage & Family Therapist
1280 E GIBSON RD
WOODLAND, CA 95776
Yolo County (530) 650-4500
DR. RAJPREET S DHESI MD
Physical Medicine & Rehabilitation (Pain Medicine)
1280 E GIBSON RD
WOODLAND, CA 95776
Yolo County (530) 650-4500
ROB XAVIER ABILLE CRUZ NP-C
Nurse Practitioner (Primary Care)
1280 E GIBSON RD
WOODLAND, CA 95776
Yolo County (530) 650-4500

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 Prasanna Bastola's NPI number?

The NPI number for Prasanna Bastola is 1831750306. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Prasanna Bastola located?

Prasanna Bastola practices at 1280 E Gibson Rd, Woodland, CA 95776. The listed phone number is (530) 650-4500.

What is Prasanna Bastola's specialty?

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

Is Prasanna Bastola enrolled in Medicare?

Yes. Prasanna Bastola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prasanna Bastola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prasanna Bastola reassigns Medicare benefits to Clinicas De Salud Del Pueblo Inc. (Hemet, 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 Prasanna Bastola'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 Prasanna Bastola was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.