Prabhjit S. Purewal, MD, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A48423 Issued in CA

Legal business name

PRABHJIT S. PUREWAL, MD, INC.

Practice address

4722 Quail Lakes Dr Ste a
Stockton, CA 95207-5244

Phone

(209) 477-2000

Fax

(209) 477-0248

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prabhjit S Purewal, MD, FACO

Title

President

Phone

(209) 477-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Prabhjit S Purewal MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Prabhjit S. Purewal, MD, Inc

  • Specialist
  • Manteca, CA
  • NPI 1649222118
  NPD tax ID
• Prabhjit S. Purewal, MD, Inc.

  • Non-Pharmacy Dispensing Site
  • Manteca, CA
  • NPI 1831206432
  NPD tax ID

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1063620888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7935",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670935",
            "telephone_number": "209-477-2000",
            "fax_number": "209-477-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 QUAIL LAKES DR STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075244",
            "telephone_number": "209-477-2000",
            "fax_number": "209-477-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHJIT S. PUREWAL, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "PRABHJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-477-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC NUMBER",
            "identifier": "5343040003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jena Pourshafie
• Layla Powell
• Rachel Lynne Powell
• Brittney Marie Powers
• Adriana Pozos
• Prabhjit S. Purewal, MD, Inc.
• Spoorthy Prabhudeva, MD
• Annelise K Prachittham-Burkett
• Practical Counseling and Educational Services
• Destiny Rae Prado

• Specialist in Stockton, CA
• Providers in Stockton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.