Individual provider Active NPI

Amritpal Kaur Mundi, DO

  • Family Medicine Physician
  • Kingsburg, CA
National Provider Identifier
1063076941
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19908 Issued in CA
Practice address
121 W Sierra St
Kingsburg, CA 93631-1756
Phone
(559) 761-3840
NPI assigned
Apr 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19908 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

121 W Sierra St
Kingsburg, CA 93631-1756

Mailing address

121 W Sierra St
Kingsburg, CA 93631-1756
Phone (559) 761-3840

Other identifiers 1

IdentifierTypeStateIssuer
1063076941MedicaidAZ

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
I20220830002217 CA Order and Referring Only - Family PracticePractitioner - Family Practice 9830573559

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19908CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Team, Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amritpal.mundi.p4@direct.vht.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1063076941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W SIERRA ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311756",
            "telephone_number": "559-761-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W SIERRA ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311756",
            "telephone_number": "559-761-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDI",
        "first_name": "AMRITPAL",
        "middle_name": "KAUR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "19908",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063076941",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsburg, CA

Sources for this page

Verify at the official NPI Registry.