Individual provider Active NPI

Mandeep Singh Uppal, FNP

  • Family Nurse Practitioner
  • Delhi, CA
National Provider Identifier
1447720966
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95010373 Issued in CA
Practice address
9696 Stephens St
Delhi, CA 95315-9550
Phone
(209) 667-0702
Fax
(209) 667-6737
NPI assigned
Nov 27, 2018
Last updated
Dec 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95010373 CA Primary

Addresses

Primary practice location

9696 Stephens St
Delhi, CA 95315-9550

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149

Other practice location 1

19901 First St Ste 4
Hilmar, CA 95324-9099
Phone (209) 656-8701

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mandeep.uppal.1@3012.direct.athenahealth.com Direct
Direct Messaging Address mandeep.uppal.1@3012.direct.athenahealth.com Direct

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
I20190416002535 CA Practitioner - Nurse Practitioner 3274874433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95010373CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orion Aesthetics Corp PastSince Apr 26, 2022 Accepting new patients
Merced Faculty Associates Medical Group Incorporated PastSince Dec 17, 2018 Accepting new patients
Merced Faculty Associates Medical Group Incorporated PastSince Dec 17, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mandeep.uppal.1@3012.direct.athenahealth.com

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, 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": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1447720966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-725-7149",
            "fax_number": "209-726-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 STEPHENS ST",
            "city": "DELHI",
            "state": "CA",
            "postal_code": "953159550",
            "telephone_number": "209-667-0702",
            "fax_number": "209-667-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19901 First St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Hilmar",
            "state": "CA",
            "postal_code": "953249099",
            "country_code": "US",
            "telephone_number": "209-656-8701",
            "fax_number": "209-656-8704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "MANDEEP",
        "middle_name": "SINGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95010373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mandeep.uppal.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19901 First St Ste 4",
            "city": "Hilmar",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953249099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mandeep.uppal.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9696 Stephens St",
            "city": "Delhi",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953159550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delhi, CA

Sources for this page

Verify at the official NPI Registry.