Active NPI
Ravindar Kaur, FNP
- Family Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95004158
- Practice address
- 1717 Las Vegas St
Modesto, CA 95358-5500 - Phone
- (209) 576-4200
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95004158 | CA | Primary |
Addresses
Primary practice location
1717 Las Vegas St
Modesto, CA 95358-5500
Mailing address
1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 384-6488
Other practice location 1
7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 436-4500
Other practice location 2
7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 436-4500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Community Extended Care
9620 Fremont Ave
Montclair, CA 91763-2320
Phone (909) 621-4751
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinu-Clear Inc | Current | Accepting new patients | |
| The Noble Group a Medical Corporation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
394 E Yosemite Ave
Merced, CA 95340
Phone (209) 383-3990
3144 G St
Ste 125
Merced, CA 95340
Phone (209) 383-3990
9620 Fremont Ave
Montclair, CA 91763
Phone (909) 227-0750
1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791
Organizations & group practices 3
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.
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- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1134570864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 CUSTOMER CARE WAY",
"city": "ATWATER",
"state": "CA",
"postal_code": "953015167",
"telephone_number": "209-384-6488",
"fax_number": "855-202-9336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 LAS VEGAS ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953585500",
"telephone_number": "209-576-4200"
}
],
"practiceLocations": [
{
"address_1": "7471 N Fresno St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937202457",
"country_code": "US",
"telephone_number": "559-436-4500",
"fax_number": "559-436-0500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7471 N Fresno St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937202457",
"country_code": "US",
"telephone_number": "559-436-4500",
"fax_number": "559-436-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUR",
"first_name": "RAVINDAR",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95004158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.