Individual provider Active NPI

Gagandeep Kaur, NP

  • Adult Health Nurse Practitioner
  • Concord, CA
National Provider Identifier
1639734700
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95032422 Issued in CA
Practice address
2481 Pacheco St
Concord, CA 94520-2019
Phone
(925) 680-8933
Fax
(925) 680-7635
NPI assigned
May 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP61352928 WA
Adult Health Nurse Practitioner 363LA2200X 95032422 CA Primary

Addresses

Primary practice location

2481 Pacheco St
Concord, CA 94520-2019

Mailing address

1650 S Topaz Way
Meridian, ID 83642-4474
Phone (208) 605-7070

Other practice location 1

12201 Pacific Ave S
Tacoma, WA 98444-5126
Phone (253) 536-5448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20221123002778 WA Practitioner - Nurse Practitioner 8224406160 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F308788-1NYMDAdult Health Nurse Practitioner
AP61352928WAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistia Healthcare PLLC Adult Health CurrentSince Feb 4, 2024 Accepting new patients
Bastion Health PC CurrentSince Nov 1, 2022 Accepting new patients
Freeland Primary Care PLLC CurrentSince Oct 1, 2024 Accepting new patients
Northpoint Washington LLC CurrentSince May 1, 2023 Accepting new patients
Evergreen at Northpoint LLC PastSince Sep 1, 2020 Accepting new patients
Professional Primary Care Physician PLLC Past Accepting new patients
North Shore Primary Care P.C. Past Accepting new patients

Locations

1650 S Topaz Way
Meridian, ID 83642
Phone (208) 888-3151

107 S Main St
Ste D101
Coupeville, WA 98239
Phone (360) 678-2128

7416 212th St SW
Edmonds, WA 98026
Phone (425) 245-5800

5577 Vanbarr Pl
Freeland, WA 98249
Phone (360) 320-9491

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

Interoperability endpoints

  • Direct secure messaging: vhaas234744@hpmg.direct-ci.net

Organizations & group practices 7

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": "1556928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1639734700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S TOPAZ WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424474",
            "telephone_number": "208-605-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202019",
            "telephone_number": "925-680-8933",
            "fax_number": "925-680-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 Pacific Ave S",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984445126",
            "country_code": "US",
            "telephone_number": "253-536-5448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GAGANDEEP",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-04",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61352928",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95032422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.