Individual provider Active NPI

Kamaldeep Pal

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1245869874
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014337 Issued in CA
Practice address
210 N Chester Ave
Bakersfield, CA 93308-4841
Phone
(800) 333-6664
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014337 CA Primary

Addresses

Primary practice location

210 N Chester Ave
Bakersfield, CA 93308-4841

Mailing address

10102 Sirretta Peak PL
Bakersfield, CA 93311-8921
Phone (661) 805-3718

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
I20200728003462 CA Practitioner - Nurse Practitioner 2062837768 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanguard Medical CorporationGroup PAC ID 4587881685, 23 clinicians

Practice addresses (Care Compare)

845 7TH St
Wasco, CA 93280-1919
Phone (661) 459-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014337CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Jul 15, 2022 Accepting new patients
Vanguard Medical Corporation CurrentSince Feb 27, 2023 Accepting new patients
Vanguard Medical Corporation CurrentSince Feb 27, 2023 Accepting new patients
Vanguard Medical Corporation Current Accepting new patients
San Joaquin Valley Health Group Inc CurrentSince Oct 15, 2020 Accepting new patients
San Joaquin Valley Health Group Inc CurrentSince Oct 15, 2020 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Jul 15, 2022 Accepting new patients
Jae J. Kim, M.D. Past Accepting new patients

Locations

1100 Bear Mountain Blvd
Arvin, CA 93203
Phone (559) 799-2701

2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404

2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909

6515 Panama Ln
Ste 106
Bakersfield, CA 93313
Phone (661) 735-3041

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

4420 Coffee Rd
Ste A
Bakersfield, CA 93308
Phone (661) 345-9964

4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

761 W Shaw Ave
Clovis, CA 93612
Phone (559) 549-3234

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

28110 Clinton Keith Rd
Murrieta, CA 92563
Phone (661) 885-6060

565 Kern St
Shafter, CA 93263
Phone (661) 746-4937

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

845 7th St
Wasco, CA 93280
Phone (661) 459-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1245869874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 SIRRETTA PEAK PL",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118921",
            "telephone_number": "661-805-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933084841",
            "telephone_number": "800-333-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAL",
        "first_name": "KAMALDEEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.