Navjot Kaur Bisla

Individual provider Active NPI Pharmacist · Cameron Park, CA

NPI 1003453291 · NPPES record last updated Dec 6, 2019

Key facts

NPI
1003453291
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
81473 (CA)
Practice address
3380 Coach LN
Cameron Park, CA 95682-8454
Phone
(530) 676-6938
Fax
(530) 676-6942
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
81473CAMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past
since Dec 9, 2019
Accepting new patients
Safeway Inc Past
since Dec 9, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 81473 CA Yes

Addresses

Primary practice location

3380 Coach LN
Cameron Park, CA 95682-8454

Mailing address

3380 Coach LN
Cameron Park, CA 95682-8454
Phone (530) 676-6938

Other providers in Cameron Park, CA

All providers in Cameron Park, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.