Individual provider Active NPI

Jaskanwal K Sachdev, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1295597730
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09231306 Issued in AZ
Practice address
3125 E Beautiful LN
Phoenix, AZ 85042-7117
Phone
(602) 451-0820
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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 F09231306 AZ Primary

Addresses

Primary practice location

3125 E Beautiful LN
Phoenix, AZ 85042-7117

Mailing address

3125 E Beautiful LN
Phoenix, AZ 85042-7117
Phone (602) 451-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240829000421 AZ Practitioner - Nurse Practitioner 3375082738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livi Medical Services LLCGroup PAC ID 8820283039, 11 clinicians
Pain and Palliative Associates of ArizonaGroup PAC ID 9638408487, 24 clinicians

Practice addresses (Care Compare)

3030 N Central Ave
Suite 1200
Phoenix, AZ 85012-2745
Phone (480) 607-0606

3811 E Bell Rd
Suite 111
Phoenix, AZ 85032-2158
Phone (480) 985-1093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09231306AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Geriatric Associates PLLC CurrentSince May 30, 2024 Accepting new patients
Pain and Palliative Associates of Arizona CurrentSince May 30, 2024 Accepting new patients

Locations

3011 S Lindsay Rd
Ste 115
Gilbert, AZ 85295
Phone (602) 249-8578

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

3811 E Bell Rd
Ste 111
Phoenix, AZ 85032
Phone (602) 675-2585

Organizations & group practices 3

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": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1295597730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 E BEAUTIFUL LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427117",
            "telephone_number": "602-451-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 E BEAUTIFUL LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427117",
            "telephone_number": "602-451-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEV",
        "first_name": "JASKANWAL",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F09231306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.