Individual provider Active NPI

Simrat Shergill, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1063953552
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5017811 Issued in NC
Practice address
2029 Century Park E Ste 400
Los Angeles, CA 90067-2905
Phone
(800) 465-3203
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5017811 NC Primary
Family Nurse Practitioner 363LF0000X LG-0001009 DE
Family Nurse Practitioner 363LF0000X AC001977 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95008557 CA

Addresses

Primary practice location

2029 Century Park E Ste 400
Los Angeles, CA 90067-2905

Mailing address

20730 Valley Green Dr
Cupertino, CA 95014-1704

Other practice location 1

North Carolina Institute of Advanced Neurohealth PA
1600 Olive Chapel Rd Suite 108 A
Apex, NC 27502
Phone (800) 732-9822

Other practice location 2

20730 Valley Green Dr
Cupertino, CA 95014-1704
Phone (408) 783-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231201000303 NC Practitioner - Nurse Practitioner 8224315890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina Institute of Advanced Neurohealth PAGroup PAC ID 9638554785, 3 clinicians

Practice addresses (Care Compare)

1600 Olive Chapel Rd
Suite 108a
Apex, NC 27502-6765
Phone (800) 732-9822

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0001009DEMDFamily Nurse Practitioner
95008557CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Institute of Advanced Neurohealth PA CurrentSince Nov 1, 2023 Accepting new patients

Locations

1600 Olive Chapel Rd
Ste 108A
Apex, NC 27502
Phone (800) 732-9822

3100 NC 55 Hwy
Cary, NC 27519

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1063953552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 VALLEY GREEN DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 CENTURY PARK E STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672905",
            "telephone_number": "800-465-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "North Carolina Institute of Advanced Neurohealth PA",
            "address_2": "1600 Olive Chapel Rd Suite 108 A",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "27502",
            "country_code": "US",
            "telephone_number": "800-732-9822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20730 Valley Green Dr",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950141704",
            "country_code": "US",
            "telephone_number": "408-783-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERGILL",
        "first_name": "SIMRAT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017811",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001977",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95008557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.