Individual provider Active NPI

Poonam Chhina, NP

  • Nurse Practitioner
  • Rancho Cordova, CA
National Provider Identifier
1750138442
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95028569 Issued in CA
Practice address
4028 Branigan Lake Way
Rancho Cordova, CA 95742-7774
Phone
(213) 447-2221
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 95028569 CA Primary

Addresses

Primary practice location

4028 Branigan Lake Way
Rancho Cordova, CA 95742-7774

Mailing address

4028 Branigan Lake Way
Rancho Cordova, CA 95742-7774
Phone (213) 447-2221

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
I20250325001835 CA Order and Referring Only - Nurse Practitioner 4688197247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95028569CAMDNurse Practitioner
95030937CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: p.chhina@ahl.ssdirect.aprima.com

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1750138442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 BRANIGAN LAKE WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427774",
            "telephone_number": "213-447-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 BRANIGAN LAKE WAY",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957427774",
            "telephone_number": "213-447-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHINA",
        "first_name": "POONAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95028569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

Verify at the official NPI Registry.