Organization Active NPI

East Bay Medical Professional Corporation

Doing business as Endo and Diabetes Center, Jaspreet Kaur MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pleasanton, CA
National Provider Identifier
1295368322
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
EAST BAY MEDICAL PROFESSIONAL CORPORATION
Doing business as
Endo and Diabetes Center, Jaspreet Kaur MD
Practice address
1393 Santa Rita Rd Ste a
Pleasanton, CA 94566-5667
Phone
(925) 334-7155
Fax
(925) 481-3818
NPI assigned
Feb 18, 2020
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Dr. Jaspreet Kaur, MDNPI 1497913206
Title
Director
Phone
(925) 334-7155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1393 Santa Rita Rd Ste a
Pleasanton, CA 94566-5667

Mailing address

3736 Fallon Rd # 506
Dublin, CA 94568-7400
Phone (925) 334-7155

Other names 1

  • Endo and Diabetes Center, Jaspreet Kaur MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200408001672 CA Part B Supplier - Clinic/Group Practice 8022447325 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Locations

1393 Santa Rita Rd
Ste A
Pleasanton, CA 94566
Phone (510) 857-3813

652 W 11th St
Ste 129
Tracy, CA 95376
Phone (209) 575-2700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1295368322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3736 FALLON RD # 506",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945687400",
            "telephone_number": "925-334-7155",
            "fax_number": "833-944-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 SANTA RITA RD STE A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665667",
            "telephone_number": "925-334-7155",
            "fax_number": "925-481-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "JASPREET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "925-334-7155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endo and Diabetes Center, Jaspreet Kaur MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.