Individual provider Active NPI

Jasmine Kaur Atwal, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1568786374
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A123075 Issued in CA
Practice address
7055 N Chestnut Ave
Ste 101
Fresno, CA 93720-0350
Phone
(559) 298-0111
Fax
(559) 298-0311
NPI assigned
Mar 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A123075 CA
Psychiatry Physician 2084P0800X A123075 CA Primary

Addresses

Primary practice location

7055 N Chestnut Ave
Ste 101
Fresno, CA 93720-0350

Mailing address

7055 N Chestnut Ave
Ste 101
Fresno, CA 93720-0350
Phone (559) 298-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A123075CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Fresno CurrentSince Aug 1, 2015 Accepting new patients
County of Fresno CurrentSince Aug 1, 2015 Accepting new patients

Locations

4441 E Kings Canyon Rd
Fresno, CA 93702
Phone (559) 453-4099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1568786374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 N CHESTNUT AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200350",
            "telephone_number": "559-298-0111",
            "fax_number": "559-298-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 N CHESTNUT AVE",
            "address_2": "STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200350",
            "telephone_number": "559-298-0111",
            "fax_number": "559-298-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWAL",
        "first_name": "JASMINE",
        "middle_name": "KAUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A123075",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A123075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.