Individual provider Active NPI

Daljit Kaur

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1295344042
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016377 Issued in CA
Practice address
2433 Marconi Ave
Sacramento, CA 95821-4807
Phone
(916) 737-5555
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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 95016377 CA Primary

Addresses

Primary practice location

2433 Marconi Ave
Sacramento, CA 95821-4807

Mailing address

777 12TH St Ste 250
Sacramento, CA 95814-1929
Phone (916) 737-5555

Other identifiers 1

IdentifierTypeStateIssuer
828290MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Davis

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
I20210408002252 CA Practitioner - Nurse Practitioner 4385052489 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Physician IncGroup PAC ID 7315291473, 6 clinicians
All Inclusive Medical Services IncGroup PAC ID 3274855879, 21 clinicians

Practice addresses (Care Compare)

4568 Feather River Dr
Suite D
Stockton, CA 95219-6508
Phone (209) 395-2360

5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344

5900 Coyle Ave
Suite a
Carmichael, CA 95608-0400
Phone (916) 330-4447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016377CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspace Health CurrentSince Mar 1, 2021 Accepting new patients
Wellspace Health Current Accepting new patients
Community Health Centers of America CurrentSince Aug 28, 2023 Accepting new patients
Wellspace Health CurrentSince Mar 1, 2021 Accepting new patients
Access Physician Inc. CurrentSince Jan 15, 2025 Accepting new patients
All Inclusive Medical Services Urgent Care, Inc. CurrentSince Dec 1, 2021 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Sep 1, 2021 Accepting new patients
Community Health Centers of America CurrentSince Aug 28, 2023 Accepting new patients

Locations

5900 Coyle Ave
Ste B
Carmichael, CA 95608
Phone (916) 349-7600

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

391 Howe Ave
Ste 150
Sacramento, CA 95825
Phone (916) 285-5300

2425 Alhambra Blvd
Sacramento, CA 95817
Phone (916) 313-8400

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

2433 Marconi Ave
Sacramento, CA 95821
Phone (916) 313-8455

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

4568 Feather River Dr
Ste D
Stockton, CA 95219
Phone (209) 395-2360

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1295344042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 12TH ST STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958141929",
            "telephone_number": "916-737-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958214807",
            "telephone_number": "916-737-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "DALJIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "828290",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Davis",
            "affiliation": "N",
            "address_1": "2806 Wyeth Ct",
            "city": "Davis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956187612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.