Mansimran Kaur
Individual provider Active NPI Registered Nurse · Lathrop, CA
NPI 1265063168 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1265063168
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 95306988 (CA)
- Practice address
- 17837 Isabella PL
Lathrop, CA 95330-8227 - Phone
- (209) 483-0240
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95306988 | CA | MD | Registered Nurse |
| 699621 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 699621 | CA | |
| Registered Nurse | 163W00000X | 95306988 | CA | Yes |
Addresses
Primary practice location
17837 Isabella PL
Lathrop, CA 95330-8227
Mailing address
5325 Broder Blvd
Dublin, CA 94568-3309
Phone (925) 551-6500
Other providers in Lathrop, CA
- Susan Kanini
- Adarshdeep Kaur
- Amandeep Kaur Kaur
- Bipinjit Kaur
- Manjot Kaur
- Parambir Kaur
- Evette Khaew
- Kimberlee Kiep Witthoft
- Beatrice Wamuyu Kihungi
- Megan King
All providers in Lathrop, CA · Registered Nurse 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 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.