Individual provider Active NPI

Nirlaip Kaur Chahal

  • Nurse Practitioner
  • El Segundo, CA
National Provider Identifier
1023795200
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025373 Issued in CA
Practice address
300 Continental Blvd
El Segundo, CA 90245-5042
Phone
(310) 658-3775
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025373 CA Primary

Addresses

Primary practice location

300 Continental Blvd
El Segundo, CA 90245-5042

Mailing address

10059 Dagwood CT
Sacramento, CA 95829-7002
Phone (559) 779-5354

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
I20230809002636 CA Practitioner - Nurse Practitioner 1052773975 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95025373CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Jan 1, 2024 Accepting new patients
Community Health Centers of America CurrentSince Jan 1, 2024 Accepting new patients

Locations

6608 Mercy Ct
Ste Ab
Fair Oaks, CA 95628

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097

850 W Olive Ave
Merced, CA 95348
Phone (209) 437-9410

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

Interoperability endpoints

  • Direct secure messaging: nirlaip.chahal.1@29786.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1023795200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10059 DAGWOOD CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958297002",
            "telephone_number": "559-779-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONTINENTAL BLVD",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455042",
            "telephone_number": "310-658-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "NIRLAIP",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.