Active NPI
Meena Kaur, NP
- Pediatric Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1538701073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95029842
- Practice address
- 808 W 58TH St
Los Angeles, CA 90037-3632 - Phone
- (310) 738-5925
- NPI assigned
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 95175221 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 95029842 | CA | Primary |
Addresses
Primary practice location
808 W 58TH St
Los Angeles, CA 90037-3632
Mailing address
808 W 58TH St
Los Angeles, CA 90037-3632
Phone (310) 738-5925
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95175221 | CA | MD | Ambulatory Care Registered Nurse |
| 95029842 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| St. Johns Community Health | Past | Accepting new patients |
Locations
2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332
1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332
1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- meena.kaur@sjch.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1073653630
-
- Community Health Clinic/Center
- Los Angeles, CA
- NPI 1073363768
-
- Federally Qualified Health Center (FQHC)
- Compton, CA
- NPI 1932249596
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1780376947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1538701073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 W 58TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373632",
"telephone_number": "310-738-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 W 58TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373632",
"telephone_number": "310-738-5925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "MEENA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-16",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "95175221",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95029842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.