Individual provider Active NPI

Jaimal Singh Sangha, D.C.

  • Family Nurse Practitioner
  • Merced, CA
National Provider Identifier
1285747709
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95029498 Issued in CA
Practice address
544 W 25TH St
Merced, CA 95340-2828
Phone
(209) 383-3090
Fax
(209) 383-3091
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29149 CA
Family Nurse Practitioner 363LF0000X NP95029498 CA Primary

Addresses

Primary practice location

544 W 25TH St
Merced, CA 95340-2828

Mailing address

544 W 25TH St
Merced, CA 95340-2828
Phone (209) 383-3090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040518001513 CA Practitioner - Chiropractic 3375534555 Reassigns benefits to 1 organization
I20240724001434 CA Practitioner - Nurse Practitioner 3375534555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

544 W 25TH St
Merced, CA 95340-2828
Phone (209) 383-3090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DC29149CAMDChiropractor
NP95029498CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain Management Inc. Chiropractor CurrentSince Feb 5, 2007 Accepting new patients

Locations

4105 W Swift Ave
Ste 111
Fresno, CA 93722

544 W 25th St
Merced, CA 95340
Phone (209) 383-3090

Organizations & group practices 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1285747709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W 25TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402828",
            "telephone_number": "209-383-3090",
            "fax_number": "209-383-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W 25TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402828",
            "telephone_number": "209-383-3090",
            "fax_number": "209-383-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHA",
        "first_name": "JAIMAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95029498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.