Individual provider Active NPI

Randeep Singh Brar, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1629897103
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95032475 Issued in CA
Practice address
510 Plaza Dr Ste 170
Folsom, CA 95630-4790
Phone
(916) 351-9400
Fax
(916) 351-9449
NPI assigned
Oct 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 95032475 CA Primary

Addresses

Primary practice location

510 Plaza Dr Ste 170
Folsom, CA 95630-4790

Mailing address

3035 El Camino Ave
Sacramento, CA 95821
Phone (559) 577-5600

Other practice location 1

3035 El Camino Ave
Sacramento, CA 95821
Phone (559) 577-5600

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
I20241114001814 CA Practitioner - Nurse Practitioner 2062956592 Reassigns benefits to 3 organizations

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

Practice addresses (Care Compare)

1902 Wright PL
FL 2
Carlsbad, CA 92008-6583
Phone (888) 515-3834

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Check Psychological Services, a Professional Corporation Single Specialty CurrentSince Jan 15, 2025 Accepting new patients
Hisham Soliman MD Inc Single Specialty CurrentSince Jan 29, 2025 Accepting new patients
Kulwant Singh MD Inc Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
H Soliman Medical Corporation Psychiatric/Mental Health PastSince Jan 29, 2025 Accepting new patients
Optimum Medical Supply Corporation PastSince Jul 10, 2022 Accepting new patients

Locations (25 of 30)

1101 Maidu Dr
Auburn, CA 95603
Phone (877) 272-5818

5441 Aldrin Ct
Ste A
Bakersfield, CA 93313

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465

2062 Talbert Dr
Ste 100
Chico, CA 95928
Phone (530) 431-8074

1245 W 6th St
Corona, CA 92882

2345 Fletcher Pkwy
#170
El Cajon, CA 92020

5000 Windplay Dr
Ste 4
El Dorado Hls, CA 95762
Phone (916) 784-6111

9381 E Stockton Blvd
Ste 220
Elk Grove, CA 95624
Phone (916) 667-8520

15720 Ventura Blvd
Ste 210
Encino, CA 91436
Phone (818) 515-8097

622 Jackson St
Unit 103
Fairfield, CA 94533

510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818

44240 Fremont Blvd
Fremont, CA 94538

4025 N Fresno St
Fresno, CA 93726

2955 Main St
Ste 110
Irvine, CA 92614

509 13th St
Ste 8
Modesto, CA 95354

7177 Brockton Ave
Ste 444A
Riverside, CA 92506

2440 Professional Dr
Roseville, CA 95661
Phone (916) 781-3050

2440 Professional Dr
Ste 1
Roseville, CA 95661

2180 Harvard St
Ste 100
Sacramento, CA 95815
Phone (279) 300-6068

2386 Fair Oaks Blvd
Sacramento, CA 95825
Phone (916) 565-1989

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

225 W Hospitality Ln
Ste 201P
San Bernardino, CA 92408

3200 4th Ave
Ste 200
San Diego, CA 92103
Phone (858) 283-2391

1040 Park Ave
Ste 200
San Jose, CA 95126

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alpine Home Health Services LLCSacramento, CA, CCN 757938 Home health agency 5% Or Greater Direct Ownership Interest (25%) Jun 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1629897103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 EL CAMINO AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95821",
            "telephone_number": "559-577-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PLAZA DR STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304790",
            "telephone_number": "916-351-9400",
            "fax_number": "916-351-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3035 EL CAMINO AVE",
            "address_purpose": "LOCATION",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95821",
            "country_code": "US",
            "telephone_number": "559-577-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAR",
        "first_name": "RANDEEP",
        "middle_name": "SINGH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95032475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.