NPIMap

Individual provider Active NPI

Pradeep Kumar Kamboj, M.D.

  • Family Medicine Physician
  • Tulare, CA
National Provider Identifier
1720178601
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53364 Issued in CA
Practice address
1070 N Cherry St
Tulare, CA 93274-2251
Phone
(559) 686-3421
Fax
(559) 686-0799
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A53364 CA Primary

Addresses

Primary practice location

1070 N Cherry St
Tulare, CA 93274-2251

Mailing address

1070 N Cherry St
Tulare, CA 93274-2251
Phone (559) 686-3421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013001395 CA Practitioner - Family Practice 0244290211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tulare Family Practice Medical GroupGroup PAC ID 8325932775, 2 clinicians

Practice addresses (Care Compare)

1070 N Cherry St
Tulare, CA 93274-2251
Phone (559) 686-3421

Hospital & facility affiliations

  • Kaweah Health Home Health Home health agency, Visalia, CA, CCN 057255
  • Seva Home Health Home health agency, Porterville, CA, CCN 059544
  • Adventist Health Home Care Services Home health agency, Hanford, CA, CCN 057477
  • Giving Hands Home Health Care, Inc Home health agency, Encino, CA, CCN 757087
  • Adventist Health Tulare Hospital, Tulare, CA, CCN 050784
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Sierra View Medical Center Hospital, Porterville, CA, CCN 050261

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53364CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Sep 12, 2018 Accepting new patients
Family Healthcare Network CurrentSince Sep 12, 2018 Accepting new patients
Tulare Family Practice Medical Group Family Medicine CurrentSince Jul 1, 1996 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients

Locations

263 S West St
Tulare, CA 93274
Phone (844) 767-0540

1070 N Cherry St
Tulare, CA 93274
Phone (559) 412-5533

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • Direct secure messaging: pradeep.kamboj.p1@direct.altura.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGHIBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720178601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742251",
            "telephone_number": "559-686-3421",
            "fax_number": "559-686-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742251",
            "telephone_number": "559-686-3421",
            "fax_number": "559-686-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMBOJ",
        "first_name": "PRADEEP",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.