Individual provider Active NPI

Sukhjit Kaur

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1023780244
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018150 Issued in CA
Practice address
801 17TH St
Modesto, CA 95354-1243
Phone
(209) 251-0200
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018150 CA Primary

Addresses

Primary practice location

801 17TH St
Modesto, CA 95354-1243

Mailing address

915 Chastanet CT
Livingston, CA 95334-9237
Phone (209) 535-4693

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907002255 CA Practitioner - Nurse Practitioner 8921482183 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander Y Chan, MD IncGroup PAC ID 7517044811, 3 clinicians

Practice addresses (Care Compare)

1111 E Tuolumne Rd
Turlock, CA 95382-1541
Phone (209) 632-7577

915 Chastanet CT
Livingston, CA 95334-9237
Phone (209) 535-4693

Hospital & facility affiliations

  • Golden Modesto Care Center Nursing home, Modesto, CA, CCN 056301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mismo Dermatology Group Apc CurrentSince Sep 1, 2023 Accepting new patients
Careconnectmd Ca PC CurrentSince Mar 10, 2023 Accepting new patients
S&P Nursing Corp Family CurrentSince Oct 1, 2023 Accepting new patients
Alexander Y Chan, MD Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

3170 M St
Merced, CA 95348
Phone (209) 723-1056

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

8898 Navajo Rd
Ste C349
San Diego, CA 92119
Phone (619) 303-3704

6280 Jackson Dr
Ste 9
San Diego, CA 92119
Phone (619) 303-3642

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

19929 Greenley Rd
Sonora, CA 95370
Phone (209) 533-2500

3110 Wagner Heights Rd
Stockton, CA 95209
Phone (209) 956-3400

1111 E Tuolumne Rd
Turlock, CA 95382
Phone (209) 632-7577

367 Del Norte Ave
Ste 1
Yuba City, CA 95991
Phone (214) 621-4303

Organizations & group practices 5

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 1

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1023780244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CHASTANET CT",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349237",
            "telephone_number": "209-535-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 17TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541243",
            "telephone_number": "209-251-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "SUKHJIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.