Active NPI
Simranjit Kaur, FNP
- Family Nurse Practitioner
- Fresno, CA
National Provider Identifier
1508330960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95010905
- Practice address
- 1551 E Shaw Ave Ste 128
Fresno, CA 93710-8025 - Phone
- (559) 320-0490
- NPI assigned
- Jan 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Fresno, CA
- NPI 1487299699
-
- Internal Medicine Physician
- Madera, CA
- NPI 1245637560
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1427317981
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200226002299 | CA | Practitioner - Nurse Practitioner | 2860731288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95010905 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Dreams Medical Corporation PC | Current |
Accepting new patients | |
| Affiliated Physician Practice Inc | Past |
Accepting new patients | |
| Fresno American Indian Health Project | Past |
Accepting new patients |
Locations
3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95010905 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1551 E Shaw Ave Ste 128
Fresno, CA 93710-8025
Mailing address
115 Mall Dr
Hanford, CA 93230-5786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2023.
{
"created_epoch": "1547683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1508330960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MALL DR",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 E SHAW AVE STE 128",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108025",
"telephone_number": "559-320-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "SIMRANJIT",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-17",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95010905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.