Organization Active NPI

Wirsa Wellness

  • Psychiatry Physician
  • Manteca, CA
National Provider Identifier
1295433878
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
WIRSA WELLNESS
Practice address
239 W Yosemite Ave
Manteca, CA 95336-5603
Phone
(209) 650-0911
NPI assigned
Feb 22, 2023
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Authorized official

Name
Harpreet Kaur Johl, PMHNP/FNPNPI 1649930199
Title
Pmhnp/FNP
Phone
(209) 650-0911

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

239 W Yosemite Ave
Manteca, CA 95336-5603

Mailing address

1169 S Main St # 184
Manteca, CA 95337-5747
Phone (209) 661-9528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250711003643 CA Part B Supplier - Clinic/Group Practice 9931574498 Receives reassigned benefits from 3 practitioners
Practice locations: Manteca, CA

National Provider Directory

National Provider Directory

Locations

1261 Travis Blvd
Ste 37
Fairfield, CA 94533
Phone (209) 661-9528

1169 S Main St
Manteca, CA 95337
Phone (209) 214-9717

239 W Yosemite Ave
Manteca, CA 95336
Phone (209) 235-8143

Practitioners & affiliated clinicians

Practitioners 3

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": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1295433878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 S MAIN ST # 184",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375747",
            "telephone_number": "209-661-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W YOSEMITE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365603",
            "telephone_number": "209-650-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIRSA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "JOHL",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PMHNP/FNP",
        "authorized_official_telephone_number": "209-650-0911",
        "authorized_official_credential": "PMHNP/FNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.