Active NPI
Harkaran Singh Samra, RN
- Psychiatric/Mental Health Registered Nurse
- San Pablo, CA
National Provider Identifier
1720658305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 95214363
- Practice address
- 13585 San Pablo Ave
San Pablo, CA 94806 - Phone
- (510) 942-4700
- Fax
- (510) 215-3720
- NPI assigned
- Jun 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95039577 | CA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 95214363 | CA | Primary |
Addresses
Primary practice location
13585 San Pablo Ave
San Pablo, CA 94806
Mailing address
2163 Ackerman Dr
Pittsburg, CA 94565-4651
Phone (925) 698-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95214363 | CA | MD | Psychiatric/Mental Health Registered Nurse |
| 95039577 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1720658305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2163 ACKERMAN DR",
"city": "PITTSBURG",
"state": "CA",
"postal_code": "945654651",
"telephone_number": "925-698-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13585 SAN PABLO AVE",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-942-4700",
"fax_number": "510-215-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMRA",
"first_name": "HARKARAN",
"middle_name": "SINGH",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95039577",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CA",
"license": "95214363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.