Amandeep Kaur Johal, M.D., Inc, a Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

AMANDEEP KAUR JOHAL, M.D., INC, A MEDICAL CORPORATION

Doing business as

Golden State Family Medicine And Walk-in Clinic

Practice address

2693 Florin Rd
Sacramento, CA 95822-4524

Phone

(248) 635-0841

NPI assigned

Feb 26, 2024

Last updated

Feb 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amandeep Kaur Johal, MDNPI 1578720462

Title

Owner

Phone

(248) 635-0841

Specialties & licenses 2

Addresses

Other names 1

• Golden State Family Medicine And Walk-in Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amandeep Kaur Johal, MD

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1578720462
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1568228807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224524",
            "telephone_number": "248-635-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224524",
            "telephone_number": "248-635-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDEEP KAUR JOHAL, M.D., INC, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A",
        "authorized_official_last_name": "JOHAL",
        "authorized_official_first_name": "AMANDEEP",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-635-0841",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden State Family Medicine And Walk-in Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Amador
• Virginia J Amador
• Rose Mary Amalfitano, PH.D
• Edris Aman, M.D.
• Amanda Gibson, LCSW
• Amani Home Health Services, LLC
• Timar Amanuel
• Christopher Bryan Amaral
• Kiana Amaral
• Kourtnee Amaral, RN

• Primary Care Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.