Individual provider Active NPI

Gurinder Singh Grewal

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1558086215
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029485 Issued in CA
Practice address
4590 E Clinton Ave
Fresno, CA 93703-2659
Phone
(559) 878-4804
Fax
(559) 353-2350
NPI assigned
Oct 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029485 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95116710 CA

Addresses

Primary practice location

4590 E Clinton Ave
Fresno, CA 93703-2659

Mailing address

4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 453-1008

Other practice location 1

4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 453-1008

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
I20250122001513 CA Practitioner - Nurse Practitioner 0648618132 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Coalinga Regional Medical CenterGroup PAC ID 4688677370, 6 clinicians
Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Practice addresses (Care Compare)

1191 Phelps Ave
Coalinga, CA 93210-9609

1424 Hummingbird Way
Banning, CA 92220-7206
Phone (626) 250-4912

173 E Webster St
Colusa, CA 95932-2949
Phone (209) 287-6308

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95029485CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healpoint Medical, Apc CurrentSince Aug 30, 2025 Accepting new patients
Highland Care Hospice Current Accepting new patients
American Specialty Physicians Group Inc CurrentSince Dec 3, 2024 Accepting new patients
Harbor Wound Care P.C. CurrentSince Dec 18, 2025 Accepting new patients

Locations

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

371 E Bullard Ave
Ste 102
Fresno, CA 93710
Phone (559) 286-6640

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

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.

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1558086215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 E KINGS CANYON RD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937023604",
            "telephone_number": "559-453-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032659",
            "telephone_number": "559-878-4804",
            "fax_number": "559-353-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-453-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "GURINDER",
        "middle_name": "SINGH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029485",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95116710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.