Individual provider Active NPI

Jaspreet Kaur Mann, DO

  • Neurocritical Care Physician
  • Sacramento, CA
National Provider Identifier
1003041054
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurocritical Care PhysicianTaxonomy code 2084A2900X
License
20A14023 Issued in CA
Practice address
2800 L St Ste 501
Sacramento, CA 95816-5616
Phone
(916) 454-6850
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurocritical Care Physician 2084A2900X NCC1345-15 CA
Neurology Physician 2084N0400X 1014759 CA
Neurology Physician 2084N0400X 20A14023 CA
Neurocritical Care Physician 2084A2900X 20A14023 CA Primary

Addresses

Primary practice location

2800 L St Ste 501
Sacramento, CA 95816-5616

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (916) 708-8038

Other practice location 1

82-68 164th St
Jamaica, NY 11432-1121
Phone (718) 883-3225

Other practice location 2

1100 Van Ness Ave
San Francisco, CA 94109-6978
Phone (415) 600-1217

Other practice location 3

2100 Powell St Ste 900
Emeryville, CA 94608
Phone (510) 350-2600

Other identifiers 1

IdentifierTypeStateIssuer
20A14023OtherCASTATE MEDICAL LICENSE

Other names 1

  • Jaspreet Kaur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807015371 CA Practitioner - Critical Care (Intensivists)Practitioner - Neurology 5395059034 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Neurology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
NCC1345-15CAMDNeurocritical Care Physician
1014759CAMDNeurology Physician
20A14023CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Neurology PC Neurology CurrentSince Apr 2, 2018 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 8, 2021 Accepting new patients
Cep America - Neurology PC Neurology Current Accepting new patients
Sutter Valley Medical Foundation Neurology CurrentSince Feb 8, 2021 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Memorail Hospital of Los Banos Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Interoperability endpoints

  • Direct secure messaging: jmann396304@hisp.ehr.sutterhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1003041054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "916-708-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 L ST STE 501",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165616",
            "telephone_number": "916-454-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82-68 164th St",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114321121",
            "country_code": "US",
            "telephone_number": "718-883-3225",
            "fax_number": "718-883-6193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941096978",
            "country_code": "US",
            "telephone_number": "415-600-1217",
            "fax_number": "415-375-4827",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Powell St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Emeryville",
            "state": "CA",
            "postal_code": "94608",
            "country_code": "US",
            "telephone_number": "510-350-2600",
            "fax_number": "510-597-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "JASPREET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "CA",
            "license": "NCC1345-15",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "1014759",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A14023",
            "primary": false
        },
        {
            "code": "2084A2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "CA",
            "license": "20A14023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "20A14023",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASPREET",
            "last_name": "KAUR",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.