Individual provider Active NPI

Jasdeep Kaur

  • Allergy Physician
  • Fresno, CA
National Provider Identifier
1629782974
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
95023198 Issued in CA
Practice address
6643 N Milburn Ave
Fresno, CA 93722-2164
Phone
(559) 275-1400
NPI assigned
Jan 11, 2023
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 95023198 CA Primary

Addresses

Primary practice location

6643 N Milburn Ave
Fresno, CA 93722-2164

Mailing address

7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 436-4500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230410001849 CA Practitioner - Nurse Practitioner 2466827282 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

1255 B St
Merced, CA 95341-6345
Phone (707) 445-3261

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Quality
88.57
Promoting interoperability
96
Improvement activities
40
Cost
75.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical California PC CurrentSince May 6, 2024 Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. Allergy CurrentSince Jan 16, 2023 Accepting new patients
Baz Allergy, Asthma & Sinus Center Allergy CurrentSince Jan 16, 2023 Accepting new patients
Sharwin Tafazoli Inc CurrentSince Jan 10, 2026 Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. Allergy Current Accepting new patients
Premium Urgent Care, Inc. PastSince Jan 15, 2023 Accepting new patients
Premium Urgent Care, Inc. PastSince Jan 15, 2023 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

6643 N Milburn Ave
Ste 101
Fresno, CA 93722
Phone (559) 275-1400

7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500

1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684

517 S A St
Madera, CA 93638
Phone (559) 673-9228

1255 B St
Merced, CA 95341
Phone (209) 723-8814

2424 M St
Merced, CA 95340
Phone (209) 723-2442

1923 Coffee Rd
Ste 12C
Modesto, CA 95355
Phone (209) 409-8454

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

4343 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 886-4731

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

Organizations & group practices 8

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1629782974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7471 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202457",
            "telephone_number": "559-436-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6643 N MILBURN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937222164",
            "telephone_number": "559-275-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "JASDEEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "95023198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.