Individual provider Active NPI

Navpreet Aujla

  • Physician Assistant
  • Lodi, CA
National Provider Identifier
1497495352
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1420 W Kettleman LN
Lodi, CA 95242-4557
Phone
(209) 368-0619
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1420 W Kettleman LN
Lodi, CA 95242-4557

Mailing address

9632 Pewter CT
Elk Grove, CA 95624-4465
Phone (916) 212-4413

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
I20221019000423 CA Practitioner - Physician Assistant 4981070737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Nephrology Medical Group IncGroup PAC ID 1759377757, 31 clinicians

Practice addresses (Care Compare)

125 Hospital Dr
Vallejo, CA 94589-2562
Phone (707) 642-7510

2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Nephrology Medical Group, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Lodi Advanced Medical Center PC PastSince Aug 1, 2022 Accepting new patients

Locations

2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411

125 Hospital Dr
Vallejo, CA 94589
Phone (707) 642-7510

Interoperability endpoints

  • Direct secure messaging: navpreet.aujla.1@6134.direct.athenahealth.com

Organizations & group practices 2

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1497495352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9632 PEWTER CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244465",
            "telephone_number": "916-212-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W KETTLEMAN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952424557",
            "telephone_number": "209-368-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUJLA",
        "first_name": "NAVPREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.