Manpreet Kaur

Key facts

NPI

1104787985

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Vocational Nurse 164X00000X

License

696743 (CA)

Practice address

849 Emily St
Mountain House, CA 95391-1065

Phone

(209) 986-7977

NPI assigned

Nov 20, 2025

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2025.

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1104787985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 EMILY ST",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911065",
            "telephone_number": "209-986-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 EMILY ST",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911065",
            "telephone_number": "209-986-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANPREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "696743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain House, CA

• Yelitza Alexandra Herrera Chavez, RN, FNP
• Amy Isler, REGISTERED NURSE
• Phoebe Kahome
• Vini Kalra
• Nnenna Mildred Kanu, NP
• Parbjeet Kaur
• Deepti Kedare
• Bindu Kochuparambil, NURSE PRACTITIONER
• Amy Lam
• Lammersville Unified District

All providers in Mountain House, CA · Licensed Vocational Nurse in California