DR. GAGAN KOONER MD
NPI 1831848910
Family Medicine - Sports Medicine in Bakersfield, CA

Q: What is Gagan Kooner's NPI number?

The NPI number for Gagan Kooner is 1831848910. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Gagan Kooner's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Gagan Kooner was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 23, 2022PECOS Enrolled

625 34TH ST STE 100&200, BAKERSFIELD, CA 93301(833) 678-2781(661) 368-0618 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, Jan 23, 2023 (2 updates tracked since 2023).

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About Dr. Gagan Kooner Md NPPES

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

DR. GAGAN KOONER MD (NPI 1831848910) is an individual sports medicine provider in Bakersfield, California, licensed in California (A197548) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bakersfield, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1831848910

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. GAGAN KOONERCredential: MD

Location Address625 34TH ST STE 100&200Bakersfield, CA 93301-2305

Mailing Address11905 Bolthouse Dr Ste 500&600Bakersfield, CA 93311-8494 · (833) 678-2781 · Fax (661) 328-4029

Phone(833) 678-2781

Fax(661) 368-0618

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 23, 2022

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1831848910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CA · A197548

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

625 34TH ST STE 100&200, Bakersfield, CA 93301

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Secondary Practice Location 1

Location 111905 Bolthouse Dr Ste 500&600Bakersfield, CA 93311-8494 · Phone (833) 678-2781 · Fax (661) 328-4029

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gagan Kooner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729450812

PECOS Enrollment IDI20260710004131

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

Clinica Sierra Vista

Same address

Federally Qualified Health Center (FQHC)

625 34TH STREET, SUITE 100 AND 200
Bakersfield, CA 93301

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

NPI 1144897505 (833) 678-2781

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 93301 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

$91.09 typical visit price

range $59.26 – $178.09

Typical copayment $22.77 (range $14.81 – $44.52)

Most-billed visit code 99203

Established Patient

$104.09 typical visit price

range $19.34 – $145.64

Typical copayment $26.02 (range $4.83 – $36.41)

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.

MARSHA CHENG MD

Internal Medicine