Individual provider Active NPI

Manvinder Kaur, RN, FNP

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1508226903
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95005135 Issued in CA
Practice address
2230 Stockton Blvd
Sacramento, CA 95817-1353
Phone
(916) 734-3574
NPI assigned
Feb 26, 2016
Last updated
Feb 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95005135 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 795582 CA

Addresses

Primary practice location

2230 Stockton Blvd
Sacramento, CA 95817-1353

Mailing address

3134 N Hanover Ave
Fresno, CA 93722-4690

Other practice location 1

7131 N 11th St Ste 104
Fresno, CA 93720-3375
Phone (559) 435-0800

Other practice location 2

1060 W Sierra Ave
Fresno, CA 93711-2063
Phone (559) 437-1111

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
I20180727000894 CA Practitioner - Nurse Practitioner 3072860998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - Psychiatry PCGroup PAC ID 0244522159, 93 clinicians
Bio-Behavioral Medical Clinics, IncGroup PAC ID 5395804140, 21 clinicians

Practice addresses (Care Compare)

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

7171 N Cedar Ave
Fresno, CA 93720-3311
Phone (559) 449-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Single Specialty Current Accepting new patients
Bio-Behavioral Medical Clinics, Inc Single Specialty CurrentSince Apr 24, 2018 Accepting new patients
Cep America - Psychiatry PC CurrentSince Nov 1, 2024 Accepting new patients
Cep America - Psychiatry PC CurrentSince Nov 1, 2024 Accepting new patients
Regents of the University of Ca Single Specialty CurrentSince Feb 27, 2023 Accepting new patients
Regents of the Univ of Ca Single Specialty CurrentSince Feb 27, 2023 Accepting new patients
Cep America - Psychiatry PC Single Specialty Current Accepting new patients
Olive Leaf Family Therapy, Inc Single Specialty PastSince Aug 7, 2024 Accepting new patients
Dwight W Sievert MD Inc Single Specialty PastSince Oct 12, 2013 Accepting new patients

Locations

1060 W Sierra Ave
#104
Fresno, CA 93711
Phone (559) 437-1111

1060 W Sierra Ave
#105
Fresno, CA 93711
Phone (559) 437-1111

7171 N Cedar Ave
Fresno, CA 93720
Phone (559) 449-2000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

2230 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2614

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1508226903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 N HANOVER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171353",
            "telephone_number": "916-734-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7131 N 11th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203375",
            "country_code": "US",
            "telephone_number": "559-435-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 W Sierra Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112063",
            "country_code": "US",
            "telephone_number": "559-437-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANVINDER",
        "credential": "RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005135",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "795582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.