Individual provider Active NPI

Jaspreet Kaur Mann

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1669023149
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010930 Issued in CA
Practice address
685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone
(559) 499-1233
Fax
(559) 499-1232
NPI assigned
Sep 25, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95010930 CA Primary

Addresses

Primary practice location

685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779

Mailing address

2587 S Bundy Dr
Fresno, CA 93727-6588
Phone (559) 353-0364

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 5593530364 Direct

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
I20200818003352 CA Practitioner - Nurse Practitioner 6800212044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

650 W Alluvial Ave
Willow Creek Care Center
Fresno, CA 93611-6716
Phone (559) 499-1233

Merit-based Incentive Payment System (MIPS)

Final score
57.08 of 100Reported as individual
Quality
52.15
Promoting interoperability
0
Improvement activities
40
Cost
54.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc CurrentSince Jul 15, 2020 Accepting new patients

Locations

650 W Alluvial Ave
Clovis, CA 93611
Phone (559) 251-8463

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

668 E Bullard Ave
Fresno, CA 93710
Phone (559) 320-2200

Organizations & group practices 1

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1669023149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 S BUNDY DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937276588",
            "telephone_number": "559-353-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 W ALLUVIAL AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115779",
            "telephone_number": "559-499-1233",
            "fax_number": "559-499-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JASPREET",
        "middle_name": "KAUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "5593530364",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "phone",
            "address_1": "2587 S Bundy Dr",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937276588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.