Individual provider Active NPI

Amandeep Kaur, P.A.-C.

  • Medical Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1194980920
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19626 Issued in CA
Practice address
3940 San Dimas St
Bakersfield, CA 93301-1458
Phone
(661) 633-2541
Fax
(661) 633-9042
NPI assigned
Jul 21, 2008
Last updated
Jul 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19626 CA Primary

Addresses

Primary practice location

3940 San Dimas St
Bakersfield, CA 93301-1458

Mailing address

3940 San Dimas St
Bakersfield, CA 93301-1458
Phone (661) 633-2541

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
I20100310000124 CA Practitioner - Physician Assistant 0941345300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

277 E Front St
Buttonwillow, CA 93206-0917
Phone (866) 707-6664

4900 California Ave
Suite 400B
Bakersfield, CA 93309-7081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19626CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Jan 20, 2010 Accepting new patients
Omni Family Health CurrentSince Jan 20, 2010 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Past Accepting new patients
Central California Emergency Medicine Physicians Past Accepting new patients
Omni Family Health Past Accepting new patients
Omni Family Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

4131 Ming Ave
Bakersfield, CA 93309

4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

525 Roberts Ln
Bakersfield, CA 93308
Phone (661) 392-7850

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

1001 Main St
Delano, CA 93215
Phone (661) 454-1712

320 James St
Shafter, CA 93263
Phone (661) 459-1800

655 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1927

1100 4th St
Ste B
Taft, CA 93268
Phone (661) 765-5044

2101 7th St
Bldg Af
Wasco, CA 93280

Interoperability endpoints

  • Direct secure messaging: amandeep.kaur.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 8

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1194980920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011458",
            "telephone_number": "661-633-2541",
            "fax_number": "661-633-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011458",
            "telephone_number": "661-633-2541",
            "fax_number": "661-633-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "AMANDEEP",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.