Individual provider Active NPI

Daljit Kaur, NP

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1477224277
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017095 Issued in CA
Practice address
1432 W San Carlos St Ste 10
San Jose, CA 95126-5409
Phone
(408) 857-7199
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 95132874 CA
Nurse Practitioner 363L00000X 95017095 CA Primary

Addresses

Primary practice location

1432 W San Carlos St Ste 10
San Jose, CA 95126-5409

Mailing address

35582 Rockland CT
Fremont, CA 94536-6592
Phone (510) 358-7072

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
I20260421003441 CA Order and Referring Only - Nurse Practitioner 4183190648

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95132874CAMDRegistered Nurse
95017095CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: dkaur42273@ehr.johnmuirhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1477224277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35582 ROCKLAND CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366592",
            "telephone_number": "510-358-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 W SAN CARLOS ST STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951265409",
            "telephone_number": "408-857-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "DALJIT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95132874",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.