Divya Nalli, PMHNP-BC, FNP-C, MSN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Newman, CA
NPI 1235866773 · NPPES record last updated Aug 27, 2025
Key facts
- NPI
- 1235866773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 95022030 (CA)
- Practice address
- 1349 Main St
Newman, CA 95360-1326 - Phone
- (209) 862-3604
- NPI assigned
- Aug 4, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Beautiful Minds Medical, Inc.
Rural Health Network Inc
Randhawa Medical Group Inc
Practice addresses (Care Compare)
13300 New Airport Rd
Suite 100
Auburn, CA 95602-7407
Phone (530) 889-8780
1349 Main St
Newman, CA 95360-1326
Phone (209) 862-3604
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220919001481 | CA | Practitioner - Nurse Practitioner | 6800271412 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022030 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beautiful Minds Medical, Inc. | Current |
Accepting new patients |
Locations
13300 New Airport Rd
Ste 100
Auburn, CA 95602
Phone (530) 823-5300
381A Nevada St
Auburn, CA 95603
Phone (530) 368-0571
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCJEBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95022030 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95022030 | CA | Yes |
Addresses
Primary practice location
1349 Main St
Newman, CA 95360-1326
Mailing address
1001 Blue Range Way
Roseville, CA 95747-4497
Phone (916) 776-3584
Other providers in Newman, CA
- Manuel L H Canga MD Incorporated
- Adriana Cristal Martinez
- Monica Teresa Mata I
- Medi Lift Transportation LLC
- Sumon Nahal
- Newman Pioneer Drug Inc
- Newman-Crows Landing Usd
- Nishandeep Chahal Dental Corp
- Sonia Orbai
- Estephanie Partida
All providers in Newman, CA · Psychiatric/Mental Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.