Individual provider Active NPI

Komal Preet Nahal

  • Family Nurse Practitioner
  • Turlock, CA
National Provider Identifier
1083592422
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95036608 Issued in CA
Practice address
911 E Tuolumne Rd
Turlock, CA 95382-1543
Phone
(209) 668-4101
Fax
(209) 668-3758
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95036608 CA Primary

Addresses

Primary practice location

911 E Tuolumne Rd
Turlock, CA 95382-1543

Mailing address

945 Bridgeport Ave
Livingston, CA 95334-9215
Phone (209) 631-4307

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
I20251124002295 CA Practitioner - Nurse Practitioner 4880186121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Southern California Keck School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

911 E Tuolumne Rd
Turlock, CA 95382-1543

Hospital & facility affiliations

  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95036608CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Johanson, Thomas Wilson, James Maclaren PTRS CurrentSince Dec 1, 2025 Accepting new patients

Locations

911 E Tuolumne Rd
Turlock, CA 95382
Phone (209) 668-4101

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1083592422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 BRIDGEPORT AVE",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349215",
            "telephone_number": "209-631-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E TUOLUMNE RD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953821543",
            "telephone_number": "209-668-4101",
            "fax_number": "209-668-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHAL",
        "first_name": "KOMAL PREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95036608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.