Prabhjit S. Purewal, MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A48423 Issued in CA

Legal business name

PRABHJIT S. PUREWAL, MD, INC

Practice address

200 Cottage Ave
Ste 201
Manteca, CA 95336-4935

Phone

(209) 477-2000

NPI assigned

May 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prabhjit S Purewal, MD, FACP

Title

Ceo

Phone

(209) 477-2000

Specialties & licenses 1

Addresses

Tax ID family

Prabhjit S Purewal MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Prabhjit S. Purewal, MD, Inc.

  • Specialist
  • Stockton, CA
  • NPI 1063620888
  NPD tax ID
• Prabhjit S. Purewal, MD, Inc.

  • Non-Pharmacy Dispensing Site
  • Manteca, CA
  • NPI 1831206432
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649222118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952011047",
            "telephone_number": "209-477-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COTTAGE AVE",
            "address_2": "STE 201",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364935",
            "telephone_number": "209-477-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHJIT S. PUREWAL, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "PRABHJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-477-2000",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexus Plascencia
• Leslie Plascencia
• Delosmilagros Plaza de Loza, LVN
• Deborah Podbreger
• Nancy Beatriz Ponce Escobar, BA
• Prabhjit S. Purewal, MD, Inc.
• Prabhjit S. Purewal, MD, Inc.
• Araceli Hernandez Prado
• Elizabeth Preciado
• Clinton Earl Prescott Jr., M.D.

• Specialist in Manteca, CA
• Providers in Manteca, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.