Individual provider Active NPI

Gagandeep Kaur Khara, NP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1407416480
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011690 Issued in CA
Practice address
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone
(559) 696-2097
NPI assigned
Jun 20, 2019
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95011690 CA
Family Nurse Practitioner 363LF0000X 95011690 CA Primary

Addresses

Primary practice location

1303 E Herndon Ave
Fresno, CA 93720-3309

Mailing address

2508 S Villa Ave
Fresno, CA 93725-4009
Phone (559) 696-2097

Other practice location 1

4770 W Herndon Ave Ste 111
Fresno, CA 93722-8401
Phone (559) 450-2273

Other practice location 2

2497 Herndon Ave Ste 102
Clovis, CA 93611-8977
Phone (559) 450-8886

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
I20200214001782 CA Practitioner - Nurse Practitioner 1456787225 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JKW HealthcareGroup PAC ID 1557730702, 2 clinicians
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 942-1223

4770 W Herndon Ave
Suite 111
Fresno, CA 93722-8401
Phone (559) 450-2273

650 W Alluvial Ave
Clovis, CA 93611-6716
Phone (559) 323-6200

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95011690CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc CurrentSince Apr 1, 2020 Accepting new patients
Community Foundation Medical Group CurrentSince Jun 9, 2021 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Saint Agnes Medical Foundation CurrentSince Aug 9, 2021 Accepting new patients
JKW Healthcare CurrentSince Dec 1, 2022 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Central California Hospital Medicine Group Inc CurrentSince May 18, 2025 Accepting new patients
Community Health Partners CurrentSince Jan 10, 2023 Accepting new patients
Trinity Home Health Services PastSince Aug 9, 2021 Accepting new patients

Locations

2497 Herndon Ave
Ste 102
Clovis, CA 93611
Phone (559) 450-8886

650 W Alluvial Ave
Clovis, CA 93611
Phone (559) 251-8463

1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611

1111 E Warner Ave
#101
Fresno, CA 93710
Phone (559) 439-1845

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

4770 W Herndon Ave
Ste 111
Fresno, CA 93722
Phone (559) 450-2273

6107 N Fresno St
Ste 103
Fresno, CA 93710
Phone (559) 435-4433

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Interoperability endpoints

  • Direct secure messaging: gkhara144705@direct.trinity-health.org

Organizations & group practices 9

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1407416480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 S VILLA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937254009",
            "telephone_number": "559-696-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203309",
            "telephone_number": "559-696-2097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 W Herndon Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937228401",
            "country_code": "US",
            "telephone_number": "559-450-2273",
            "fax_number": "559-450-4555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2497 Herndon Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936118977",
            "country_code": "US",
            "telephone_number": "559-450-8886",
            "fax_number": "559-450-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHARA",
        "first_name": "GAGANDEEP",
        "middle_name": "KAUR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011690",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.