Mandeep Chahal, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95029469 Issued in CA

Practice address

1040 N Main St
Manteca, CA 95336-3745

Phone

(209) 825-5155

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Norcal Urgent Care, Inc

  dba Main Street Urgent Care, Inc.

  • Primary Care Clinic/Center
  • Manteca, CA
  • NPI 1760403125

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1336909001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 SNOWY EGRET ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558511",
            "telephone_number": "209-499-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MAIN ST",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953363745",
            "telephone_number": "209-825-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "MANDEEP",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Cephus
• Alyssa Yvonne Cervantes
• Bernice Cervantes
• Chahal Dental Group of Manteca Inc (Manteca Dentistry And Implants)
• Anupam Chahal, MD
• Gurpreet Kaur Chahil
• Thomas M. Chang, MD
• Debby Chao, M.D.
• Jack Anthony Chatten
• Prachi Singh Chauhan, MD

• Family Nurse Practitioner in Manteca, CA
• Providers in Manteca, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.