Active NPI
Manjit Kaur Purewal, NP
- Family Nurse Practitioner
- Merced, CA
National Provider Identifier
1619219458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22798
- Practice address
- 315 E 13TH St
Merced, CA 95341-6211 - Phone
- (209) 564-4500
- NPI assigned
- Mar 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22798 | CA | Primary |
Addresses
Primary practice location
315 E 13TH St
Merced, CA 95341-6211
Mailing address
315 E 13TH St
Merced, CA 95341-6211
Phone (209) 564-4500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160511000521 | CA | Order and Referring Only - Nurse Practitioner | 3476842659 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Family Health Centers Inc. | Past | Accepting new patients |
Interoperability endpoints
- manjit.purewal.p1@direct.castle.nextgenshare.com
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Winton, CA
- NPI 1447281746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1619219458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416211",
"telephone_number": "209-564-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416211",
"telephone_number": "209-564-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUREWAL",
"first_name": "MANJIT",
"middle_name": "KAUR",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-19",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "22798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.