Individual provider Active NPI

Ravinder Kaur Mann

  • Psychiatric/Mental Health Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1194400598
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95025283 Issued in CA
Practice address
32605 Temecula Pkwy Ste 220
Temecula, CA 92592-6839
Phone
(951) 514-1234
NPI assigned
Jun 21, 2023
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95025283 CA Primary

Addresses

Primary practice location

32605 Temecula Pkwy Ste 220
Temecula, CA 92592-6839

Mailing address

697 Blueberry LN
Madera, CA 93638-9334
Phone (559) 514-2772

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
I20230816000940 CA Practitioner - Nurse Practitioner 1557723079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Neurohealth West Professional Medical CorporationGroup PAC ID 1254605140, 13 clinicians
Sana Johnson-Quijada MD IncGroup PAC ID 9537124904, 4 clinicians

Practice addresses (Care Compare)

32605 Temecula Pkwy
Suite 220
Temecula, CA 92592-6839
Phone (844) 467-3867

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ehab Yacoub MD Inc. CurrentSince Aug 7, 2023 Accepting new patients
TMS Neurohealth West Professional Medical Corporation CurrentSince Feb 15, 2024 Accepting new patients
Sana Johnson-Quijada, M.D., Inc. CurrentSince Jan 1, 2024 Accepting new patients
Psychiatric Services Incorporated Past Accepting new patients

Locations

30343 Canwood St
Ste 104
Agoura Hills, CA 91301
Phone (818) 706-9300

701 Palomar Airport Rd
Ste 100
Carlsbad, CA 92011

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

72980 Fred Waring Dr
Ste C
Palm Desert, CA 92260
Phone (844) 467-3867

16835 W Bernardo Dr
Ste 202
San Diego, CA 92127
Phone (844) 467-3867

1450 Frazee Rd
Ste 210
San Diego, CA 92108
Phone (844) 467-3867

3220 S Higuera St
Ste 306
Sn Luis Obisp, CA 93401
Phone (561) 385-4855

32605 Temecula Pkwy
Ste 220
Temecula, CA 92592
Phone (844) 467-3867

Interoperability endpoints

  • Direct secure messaging: ravinder.mann.1@18773.direct.athenahealth.com
  • Direct secure messaging: greenbrooktmsca.ravindermann@158454.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1194400598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 BLUEBERRY LN",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936389334",
            "telephone_number": "559-514-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY STE 220",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926839",
            "telephone_number": "951-514-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "RAVINDER",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95025283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.