Mandeep Kaur Jaggi, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032758 Issued in CA

Practice address

8851 Center Dr Ste 408
La Mesa, CA 91942-3076

Phone

(619) 583-1174

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mandeep Kaur Former name

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harbor Wound Care P CGroup PAC ID 0042704504, 29 clinicians

Farschad Birdjandi MD IncGroup PAC ID 1052655628, 9 clinicians

Innovative Wound Solutions IncGroup PAC ID 0446758858, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Farschad Birdjandi MD Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1558844019
  Medicare reassignment Care Compare group NPD
• Harbor Wound Care P.C.

  • General Practice Physician
  • Banning, CA
  • NPI 1427922392
  Medicare reassignment Care Compare group NPD
• Innovative Wound Solutions Inc

  • Health Service Clinic/Center
  • Temecula, CA
  • NPI 1194517482
  Medicare reassignment Care Compare group NPD
• Fadi a. Haddad, M.D., Inc.

  • Clinic/Center
  • La Mesa, CA
  • NPI 1053590349
  Medicare reassignment NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1609698091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12839 HIDEAWAY LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921314209",
            "telephone_number": "858-603-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 408",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423076",
            "telephone_number": "619-583-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGGI",
        "first_name": "MANDEEP",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDEEP",
            "last_name": "KAUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James C Jacobsen, MD
• Beth Jean Jacobson, PT, ATC
• Steven M Jaeger, M.D.
• Emily K Jaen, BSN, FNP-C
• Dahlia Jaffer, RPH
• Moneer Jaibaji, M.D.
• Sara Jajjo, PHYSICAL THERAPIST
• Anmar Jalil, M.D.
• Yarelly Jalomo
• James R Malinak M.D. Inc

• Family Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.