Individual provider Active NPI

Atma Kaur Khalsa, RN

  • Psychiatric/Mental Health Registered Nurse
  • Murrieta, CA
National Provider Identifier
1043505118
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
847629 Issued in CA
Practice address
38207 Calle Cipres
Murrieta, CA 92562-9348
Phone
(951) 698-9422
Fax
(951) 240-3405
NPI assigned
Jun 16, 2011
Last updated
May 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 847629 CA Primary
Licensed Vocational Nurse 164X00000X 255658 CA

Addresses

Primary practice location

38207 Calle Cipres
Murrieta, CA 92562-9348

Mailing address

38207 Calle Cipres
Murrieta, CA 92562-9348
Phone (951) 698-9422

Other names 1

  • Josephine Mary Hogamier Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
847629CAMDPsychiatric/Mental Health Registered Nurse
255658CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Object Radiance, Inc. Licensed Vocational Nurse Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1043505118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38207 CALLE CIPRES",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629348",
            "telephone_number": "951-698-9422",
            "fax_number": "951-240-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38207 CALLE CIPRES",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629348",
            "telephone_number": "951-698-9422",
            "fax_number": "951-240-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALSA",
        "first_name": "ATMA",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "847629",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "255658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "HOGAMIER",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.