Active NPI
Tarnjit Kaur Malhi
- Licensed Vocational Nurse
- Ceres, CA
National Provider Identifier
1720681307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 710837
- Practice address
- 1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156 - Phone
- (209) 353-4838
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 710837 | CA | Primary |
Addresses
Primary practice location
1768 Mitchell Rd Ste 301
Ceres, CA 95307-2156
Mailing address
2360 Paseo de Leon
Turlock, CA 95382-8686
Phone (209) 410-4096
Other practice location 1
1235 McHenry Ave
Modesto, CA 95350-5370
Phone (209) 527-4597
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Phase | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 710837 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Current | Accepting new patients | |
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Locations
1768 Mitchell Rd
Ste 301
Ceres, CA 95307
Phone (209) 353-4838
Organizations & group practices 2
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.
-
- Methadone Clinic
- Ceres, CA
- NPI 1932759289
-
- Methadone Clinic
- Banning, CA
- NPI 1376293407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685750400000",
"number": "1720681307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 PASEO DE LEON",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953828686",
"telephone_number": "209-410-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1768 MITCHELL RD STE 301",
"city": "CERES",
"state": "CA",
"postal_code": "953072156",
"telephone_number": "209-353-4838"
}
],
"practiceLocations": [
{
"address_1": "1235 McHenry Ave",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953505370",
"country_code": "US",
"telephone_number": "209-527-4597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALHI",
"first_name": "TARNJIT",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2023-06-03",
"certification_date": "2023-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "710837",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Phase",
"affiliation": "N",
"endpointDescription": "Patient Information",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1768 Mitchell Rd Ste 301",
"city": "Ceres",
"state": "CA",
"country_code": "US",
"postal_code": "953072156",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.