Amandeep Kaur, P.A.-C.

Key facts

NPI

1194980920

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

License

PA19626 (CA)

Practice address

3940 San Dimas St
Bakersfield, CA 93301-1458

Phone

(661) 633-2541

Fax

(661) 633-9042

NPI assigned

Jul 21, 2008

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Omni Family Health Federally Qualified Health Center (FQHC) · Buttonwillow, CA · NPI 1700891660
  Medicare reassignment CA
• Omni Family Health Federally Qualified Health Center (FQHC) · Shafter, CA · NPI 1366463085
  NPD
• Omni Family Health Federally Qualified Health Center (FQHC) · Bakersfield, CA · NPI 1770399669
  NPD
• Central California Emergency Medicine Physicians Emergency Medicine Physician · Bakersfield, CA · NPI 1265546451
  NPD (past)
• Omni Family Health Federally Qualified Health Center (FQHC) · Delano, CA · NPI 1417962457
  NPD (past)
• Omni Family Health Federally Qualified Health Center (FQHC) · Tehachapi, CA · NPI 1851325021
  NPD (past)
• Dignity Health General Acute Care Hospital · Gilbert, AZ · NPI 1992735088
  NPD (past)
• Thedacare Medical Center - Waupaca, Inc. Critical Access Hospital · Waupaca, WI · NPI 1013995521
  NPD (past)

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Omni Family Health (93 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 21, 2008.

{
    "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": []
}

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All providers in Bakersfield, CA · Medical Physician Assistant in California