Individual provider Active NPI

Manpreet Kaur Athwal, PA-C

  • Surgical Physician Assistant
  • Reedley, CA
National Provider Identifier
1346752946
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
55131 Issued in CA
Practice address
811 E 11TH St
Reedley, CA 93654-2527
Phone
(559) 391-3120
NPI assigned
Nov 4, 2017
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 55131 CA Primary

Addresses

Primary practice location

811 E 11TH St
Reedley, CA 93654-2527

Mailing address

1012 Briarwood Dr
Livingston, CA 95334-9229
Phone (209) 277-9148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180115000817 CA Practitioner - Physician Assistant 9234498494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55131CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1346752946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 BRIARWOOD DR",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349229",
            "telephone_number": "209-277-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542527",
            "telephone_number": "559-391-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHWAL",
        "first_name": "MANPREET",
        "middle_name": "KAUR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "55131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.