Individual provider Active NPI

Kamala Dhakal, FNP

  • Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1497413892
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95018553 Issued in CA
Practice address
1849 Avenida Flores
Encinitas, CA 92024-7107
Phone
(954) 295-6571
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95018553 CA Primary

Addresses

Primary practice location

1849 Avenida Flores
Encinitas, CA 92024-7107

Mailing address

1849 Avenida Flores
Encinitas, CA 92024-7107
Phone (954) 295-6571

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
I20220218002290 CA Practitioner - Nurse Practitioner 3971997834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95018553CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Urgent Care-Rancho PastSince Mar 6, 2011 Accepting new patients

Organizations & group practices 1

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": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1497413892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 AVENIDA FLORES",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247107",
            "telephone_number": "954-295-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 AVENIDA FLORES",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247107",
            "telephone_number": "954-295-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAKAL",
        "first_name": "KAMALA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95018553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.