Active NPI
Resham Kaur, M.D
- Pediatrics Physician
- Madera, CA
National Provider Identifier
1366790602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C154644
- Practice address
- 9300 Valley Childrens PL
Madera, CA 93636 - Phone
- (559) 353-5700
- NPI assigned
- Aug 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.135494 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10040551 | TX | |
| Pediatrics Physician | 208000000X | C154644 | CA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL
Madera, CA 93636
Mailing address
9300 Valley Childrens PL
Madera, CA 93636-8761
Other practice location 1
3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C154644 | CA | MD | Pediatrics Physician |
| 036.135494 | IL | MD | Pediatrics Physician |
| BP10040551 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1366790602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL",
"city": "MADERA",
"state": "CA",
"postal_code": "93636",
"telephone_number": "559-353-5700"
}
],
"practiceLocations": [
{
"address_1": "3315 N Seminary St",
"address_purpose": "LOCATION",
"city": "Galesburg",
"state": "IL",
"postal_code": "614011251",
"country_code": "US",
"telephone_number": "309-344-1000",
"fax_number": "309-344-2405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUR",
"first_name": "RESHAM",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.135494",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10040551",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C154644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.