Individual provider Active NPI

Prabhdeep Singh, M.D.

  • Internal Medicine Physician
  • El Centro, CA
National Provider Identifier
1225021587
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56053 Issued in CA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A560530MedicaidCA
CC6635OtherCARAILROAD GROUP #
ZZZ47480ZOtherCABLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128001223 CA Practitioner - Internal Medicine 6901709815 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56053CAMDPharmacist
A56053CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ceja & Singh a Medical Corporation Internal Medicine CurrentSince May 29, 2021 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.

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

Verify at the official NPI Registry.