Active NPI
Prabhdeep Singh, M.D.
- Internal Medicine Physician
- El Centro, CA
National Provider Identifier
1225021587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A56053
- Practice address
- 2061 Ross Ave
Suite B
El Centro, CA 92243-3687 - Phone
- (760) 352-5800
- Fax
- (760) 545-0249
- NPI assigned
- Aug 23, 2005
- Last updated
- Jul 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A56053 | CA | Primary |
Addresses
Primary practice location
2061 Ross Ave
Suite B
El Centro, CA 92243-3687
Mailing address
2061 Ross Ave
Suite B
El Centro, CA 92243-3687
Phone (760) 352-5800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A560530 | Medicaid | CA | |
| CC6635 | Other | CA | RAILROAD GROUP # |
| ZZZ47480Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56053 | CA | MD | Pharmacist |
| A56053 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ceja & Singh a Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Imperial Valley Family Care Medical Group | Past | Accepting new patients |
Locations
251 W Cole Blvd
Calexico, CA 92231
Phone (760) 357-3768
2061 Ross Ave
Ste B
El Centro, CA 92243
Phone (760) 352-5800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- El Centro, CA
- NPI 1104409937
Internal Medicine
-
- Clinical Medical Laboratory
- Imperial, CA
- NPI 1750348033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1225021587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 ROSS AVE",
"address_2": "SUITE B",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433687",
"telephone_number": "760-352-5800",
"fax_number": "760-545-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 ROSS AVE",
"address_2": "SUITE B",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433687",
"telephone_number": "760-352-5800",
"fax_number": "760-545-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "PRABHDEEP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A56053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A560530",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP #",
"identifier": "CC6635",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ47480Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.