Amandeep K Chahal

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95021033 Issued in CA

Practice address

521 N Wilma Ave Ste a
Ripon, CA 95366-9003

Phone

(209) 599-4211

NPI assigned

May 23, 2022

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Ripon Family PhysiciansGroup PAC ID 5496152845, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: achahal@rfp.ssdirect.aprima.com
• Direct secure messaging: amandeep.chahal.p3@direct.livingstoncommunity.nextgenshare.com

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.

• Ripon Family Physicians

  • Family Medicine Physician
  • Ripon, CA
  • NPI 1356912638
  Medicare reassignment Care Compare group NPD
• Sutter Gould Medical Foundation

  dba Dale Road Care Center

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1326093360
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital of Manteca, Inc.

  dba Doctors Hospital of Manteca

  • General Acute Care Hospital
  • Manteca, CA
  • NPI 1992736599
  Care Compare affiliation

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1659019354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 KEE LN",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953558663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N WILMA AVE STE A",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953669003",
            "telephone_number": "209-599-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHAL",
        "first_name": "AMANDEEP",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95021033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devra Anne Bommarito, P.T.
• Kenneth D Bowman, P.A.-C
• Kim Bull
• California Connections Academy @ Ripon
• Elizabeth Campos-Martinez, LCSW
• Kaitlin Courtright
• Luis Cristobal-Gallardo
• Michael Thomas Crum, D.D.S.
• Richard L Crum, DDS
• Erin Colleen Dale, LCSW

• Family Nurse Practitioner in Ripon, CA
• Providers in Ripon, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.