Individual provider Active NPI

Randeep Kaur Brar

  • Family Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1427736735
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027986 Issued in CA
Practice address
3427 Lincoln Ave
Clovis, CA 93619-3937
Phone
(559) 708-1830
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95078753 CA
Family Nurse Practitioner 363LF0000X 95027986 CA Primary

Addresses

Primary practice location

3427 Lincoln Ave
Clovis, CA 93619-3937

Mailing address

3427 Lincoln Ave
Clovis, CA 93619-3937
Phone (559) 708-1830

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
I20240220001082 CA Practitioner - Nurse Practitioner 9436593357 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95078753CAMDRegistered Nurse
95027986CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc CurrentSince Aug 1, 2024 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jan 31, 2024 Accepting new patients
California PHS PC CurrentSince Aug 1, 2024 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jan 31, 2024 Accepting new patients

Locations

1420 E Palomar St
Chula Vista, CA 91913

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

1900 Coffee Rd
Modesto, CA 95355
Phone (209) 491-0904

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051

Interoperability endpoints

  • Direct secure messaging: randeep.brar.p1@direct.ccchcenter.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1427736735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 LINCOLN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936193937",
            "telephone_number": "559-708-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 LINCOLN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936193937",
            "telephone_number": "559-708-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "RANDEEP",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95078753",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.