Individual provider Active NPI

Kuljeet Kaur Kaberwal, NP

  • Family Nurse Practitioner
  • Manteca, CA
National Provider Identifier
1114794682
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027513 Issued in CA
Practice address
965 E Yosemite Ave Ste 2
Manteca, CA 95336-5943
Phone
(209) 239-2528
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 95027513 CA Primary

Addresses

Primary practice location

965 E Yosemite Ave Ste 2
Manteca, CA 95336-5943

Mailing address

1691 The Alameda
San Jose, CA 95126-2203

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
I20240312003308 CA Practitioner - Nurse Practitioner 7517303555 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Feb 26, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Feb 26, 2024 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Past Accepting new patients

Locations

965 E Yosemite Ave
Ste 2
Manteca, CA 95336
Phone (209) 239-2528

1431 McHenry Ave
Ste 100
Modesto, CA 95350
Phone (209) 579-2300

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103

Interoperability endpoints

  • Direct secure messaging: kuljeet.kaberwalnp.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1114794682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E YOSEMITE AVE STE 2",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365943",
            "telephone_number": "209-239-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABERWAL",
        "first_name": "KULJEET",
        "middle_name": "KAUR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.