Individual provider Active NPI

Manraj Kaur Sandhu, NP

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1629543343
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007365 Issued in CA
Practice address
1508 Alhambra Blvd # 200
Sacramento, CA 95816-6510
Phone
(916) 325-1040
Fax
(916) 771-8515
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95007365 CA Primary

Addresses

Primary practice location

1508 Alhambra Blvd # 200
Sacramento, CA 95816-6510

Mailing address

1300 Ethan Way Ste 600
Sacramento, CA 95825-2296
Phone (916) 482-7623

Other names 1

  • Manraj Kaur Padda Former name

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
I20200227001925 CA Practitioner - Nurse Practitioner 9234566498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.24 of 100Reported as group
Quality
69.99
Promoting interoperability
100
Improvement activities
30
Cost
76.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Sleep Lab Inc. CurrentSince May 15, 2020 Accepting new patients
Pulmonary Medicine Associates Medical Group, Inc CurrentSince May 15, 2020 Accepting new patients

Locations

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

1508 Alhambra Blvd
#200
Sacramento, CA 95816
Phone (916) 325-1040

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

Interoperability endpoints

  • Direct secure messaging: manraj.sandhu.p1@direct.apdss.nextgenshare.com
  • Direct secure messaging: rmiller423564@hisp.ehr.sutterhealth.org

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1629543343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296",
            "telephone_number": "916-482-7623",
            "fax_number": "916-679-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 ALHAMBRA BLVD # 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958166510",
            "telephone_number": "916-325-1040",
            "fax_number": "916-771-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "MANRAJ",
        "middle_name": "KAUR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANRAJ",
            "last_name": "PADDA",
            "middle_name": "KAUR",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.