Individual provider Active NPI

Rajdeep Kaur Basran

  • Family Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1285361014
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022083 Issued in CA
Practice address
2021 Herndon Ave Ste 101
Clovis, CA 93611-6316
Phone
(559) 797-4315
NPI assigned
Aug 2, 2022
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 95022083 CA Primary

Addresses

Primary practice location

2021 Herndon Ave Ste 101
Clovis, CA 93611-6316

Mailing address

5467 E Eugenia Ave
Fresno, CA 93727-6382
Phone (503) 470-9516

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
I20220825003900 CA Practitioner - Nurse Practitioner 6002290996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premium Urgent Care IncGroup PAC ID 9638306533, 4 clinicians

Practice addresses (Care Compare)

2021 Herndon Ave
Suite 101
Clovis, CA 93611-6316
Phone (559) 797-4315

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.31 of 100Reported as group
Quality
63.06
Improvement activities
40
Cost
72.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95022083CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Urgent Care, Inc. Current Accepting new patients
Premium Urgent Care, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Premium Urgent Care, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Premium Urgent Care, Inc. Current Accepting new patients
Premium Urgent Care Inc PastSince Feb 26, 2023 Accepting new patients
Premium Urgent Care, Inc. Past Accepting new patients

Locations

2021 Herndon Ave
Ste 101
Clovis, CA 93611
Phone (559) 797-4315

565 W Shaw Ave
Clovis, CA 93612
Phone (559) 475-9750

1477 E Shaw Ave
Ste 150
Fresno, CA 93710
Phone (559) 477-4495

6643 N Milburn Ave
Fresno, CA 93722
Phone (559) 275-1400

6643 N Milburn Ave
Ste 104
Fresno, CA 93722
Phone (559) 412-2535

1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684

3000 Floral Ave
Selma, CA 93662
Phone (559) 318-9240

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1285361014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5467 E EUGENIA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276382",
            "telephone_number": "503-470-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 HERNDON AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116316",
            "telephone_number": "559-797-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASRAN",
        "first_name": "RAJDEEP",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.