Active NPI
Jasmine Kaur Atwal, M.D.
- Psychiatry Physician
- Fresno, CA
National Provider Identifier
1568786374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A123075
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123075 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Fresno | Current | Accepting new patients | |
| County of Fresno | Current | 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.
-
- State or Local Public Health Clinic/Center
- Fresno, CA
- NPI 1174606420
-
dba Fresno County Department of Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fresno, CA
- NPI 1770538001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.