Parbjeet Kaur
Individual provider Active NPI Primary Care Nurse Practitioner · Mountain House, CA
NPI 1336719186 · NPPES record last updated Jun 24, 2021
Key facts
- NPI
- 1336719186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- NP95017226 (CA)
- Practice address
- 130 W Invitar LN
Mountain House, CA 95391-2036 - Phone
- (661) 717-8629
- NPI assigned
- Jun 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210930003204 | CA | Practitioner - Nurse Practitioner | 6709283997 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95017226 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatrics Long Term Care Medical Corporation | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP95017226 | CA | Yes |
Addresses
Primary practice location
130 W Invitar LN
Mountain House, CA 95391-2036
Mailing address
130 W Invitar LN
Mountain House, CA 95391-2036
Phone (661) 717-8629
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP95017226 | Other | CA | BOARDS OF REGISTERED NURSING |
Other providers in Mountain House, CA
- Amy Isler
- Phoebe Kahome
- Vini Kalra
- Nnenna Mildred Kanu
- Manpreet Kaur
- Deepti Kedare
- Bindu Kochuparambil
- Amy Lam
- Lammersville Unified District
- Beryl Levy
All providers in Mountain House, CA · Primary Care Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.