Individual provider Active NPI

Jaspreet Kaur Takhar

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1073095857
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95009561 Issued in CA
Practice address
2309 Noriega St Ste 888
San Francisco, CA 94122-4239
Phone
(843) 474-5578
NPI assigned
Aug 29, 2018
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 Nurse Practitioner 363LP0808X 95009561 CA Primary
Nurse Practitioner 363L00000X 95009561 CA

Addresses

Primary practice location

2309 Noriega St Ste 888
San Francisco, CA 94122-4239

Mailing address

768 Hillsboro Way
San Marcos, CA 92069-3573
Phone (760) 855-8928

Other practice location 1

320 Pine Ave Ste 1030
Long Beach, CA 90802-2366
Phone (310) 360-7200

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
I20210423002282 CA Practitioner - Nurse Practitioner 5597173997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thomas Health Services IncGroup PAC ID 1355748021, 32 clinicians
Carative Psychiatry Nursing CorporationGroup PAC ID 8628510310, 14 clinicians

Practice addresses (Care Compare)

1500 Rosecrans Ave
Suite 500
Manhattan Beach, CA 90266-3771
Phone (310) 360-7200

739 Bryant St
San Francisco, CA 94107-1014
Phone (843) 474-5578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95009561CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carative Psychiatry Nursing Corporation Psychiatric/Mental Health CurrentSince Apr 24, 2024 Accepting new patients
Thomas Health Services Inc CurrentSince Feb 20, 2023 Accepting new patients
Stephens Medical Corporation PastSince Mar 19, 2023 Accepting new patients
Carative Psychiatry PLLC Psychiatric/Mental Health PastSince Apr 24, 2024 Accepting new patients

Locations

320 Pine Ave
Ste 1030
Long Beach, CA 90802
Phone (310) 360-7200

11400 W Olympic Blvd
Ste 200
Los Angeles, CA 90064
Phone (401) 359-0757

1500 Rosecrans Ave
Ste 500
Manhattan Beach, CA 90266
Phone (310) 571-5936

1590 Rosecrans Ave
Ste D617
Manhattan Beach, CA 90266
Phone (310) 360-7200

402 W Broadway
Fl 4
San Diego, CA 92101

2309 Noriega St
San Francisco, CA 94122
Phone (415) 305-8848

739 Bryant St
San Francisco, CA 94107

Interoperability endpoints

  • Direct secure messaging: jaspreet.takhar@398008301912068.direct.elationemr.com

Organizations & group practices 4

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1073095857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 HILLSBORO WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693573",
            "telephone_number": "760-855-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 NORIEGA ST STE 888",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224239",
            "telephone_number": "843-474-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Pine Ave Ste 1030",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908022366",
            "country_code": "US",
            "telephone_number": "310-360-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKHAR",
        "first_name": "JASPREET",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95009561",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.