Individual provider Active NPI

Charanjot Kaur, FNP

  • Family Nurse Practitioner
  • Concord, CA
National Provider Identifier
1588401285
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024011333 Issued in CA
Practice address
5204 Skyler CT
Concord, CA 94521-3880
Phone
(661) 855-6444
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024011333 CA Primary

Addresses

Primary practice location

5204 Skyler CT
Concord, CA 94521-3880

Mailing address

5204 Skyler CT
Concord, CA 94521-3880

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
I20240822002797 CA Practitioner - Nurse Practitioner 9638618606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Specialists Medical CorporationGroup PAC ID 3678849049, 26 clinicians

Practice addresses (Care Compare)

1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024011333CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Specialists Medical Corporation CurrentSince Jun 1, 2024 Accepting new patients

Locations

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

624 E Elder St
Fallbrook, CA 92028
Phone (760) 451-4165

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1588401285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 SKYLER CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 SKYLER CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213880",
            "telephone_number": "661-855-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "CHARANJOT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2024011333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.