Individual provider Active NPI

Ardeep Singh

  • Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1205565199
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95020844 Issued in CA
Practice address
5345 N El Dorado St
Stockton, CA 95207-5872
Phone
(209) 478-4041
NPI assigned
Jun 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95020844 CA Primary

Addresses

Primary practice location

5345 N El Dorado St
Stockton, CA 95207-5872

Mailing address

4738 Bennets Mill CT
Stockton, CA 95212-2769
Phone (209) 898-5853

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
I20230315003103 CA Practitioner - Nurse Practitioner 3971977877 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95020844CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Superfin MD Inc. CurrentSince Mar 10, 2025 Accepting new patients
Tanveer S. Bajwa, MD., Inc. CurrentSince Dec 9, 2022 Accepting new patients

Locations

2333 San Ramon Valley Blvd
Ste 125
San Ramon, CA 94583
Phone (925) 743-1370

2308 N California St
Stockton, CA 95204
Phone (209) 462-2759

Interoperability endpoints

  • Direct secure messaging: asingh754676@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1205565199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4738 BENNETS MILL CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952122769",
            "telephone_number": "209-898-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 N EL DORADO ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075872",
            "telephone_number": "209-478-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "ARDEEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95020844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.