Naveet Johal

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95019430 Issued in CA

Practice address

415 N Main St Ste 1a
Manteca, CA 95336-3950

Phone

(510) 552-9771

NPI assigned

May 6, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• United Home Health Group, Inc.

  • Home Health Agency
  • Manteca, CA
  • NPI 1700559077
  NPD Authorized official
• United Hospice & Home Health Services, Inc.

  • Community Based Hospice Care Agency
  • Manteca, CA
  • NPI 1225612062
  NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1154067775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST STE 1A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST STE 1A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363950",
            "telephone_number": "510-552-9771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 E Bidwell St",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956306453",
            "country_code": "US",
            "telephone_number": "916-473-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHAL",
        "first_name": "NAVEET",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-06",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95019430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jimenez-Cuevas
• Melanie Dawn Jimenez, MSW
• Ifeanyi Jimmy
• Joe Ngoc Bui DO Inc
• Benjamin Joe, PHARM.D.
• Harpreet Kaur Johl
• John C. Trueb, DDS
• John C. Trueb, DDS, Inc.
• John P. Filippini Chiropractic Corporation
• Reshma Susan John

• All providers in Manteca, CA
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.