Individual provider Active NPI

Harsimrat Kaur

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1760019806
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95014068 Issued in CA
Practice address
4011 N Marks Ave
Fresno, CA 93722-4555
Phone
(559) 860-4925
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95014068 CA Primary

Addresses

Primary practice location

4011 N Marks Ave
Fresno, CA 93722-4555

Mailing address

4639 W Naomi Way
Fresno, CA 93722-4327

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
I20251022004763 CA Practitioner - Nurse Practitioner 7911326996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21151 S. Western Ave Suite B22
Torrance, CA 90501

4929 E Cesar Chavez Blvd
Fresno, CA 93727-3812

Hospital & facility affiliations

  • Saint Agnes Home Health and Hospice Home health agency, Fresno, CA, CCN 057135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95014068CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Fresno Health Organization, Inc. CurrentSince Sep 18, 2025 Accepting new patients
Greater Fresno Health Organization, Inc. CurrentSince Sep 18, 2025 Accepting new patients
Greater Fresno Health Organization Inc. PastSince Aug 27, 2023 Accepting new patients

Locations

4929 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 255-6476

4011 N Marks Ave
Fresno, CA 93722
Phone (559) 860-4925

Organizations & group practices 3

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 1

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1760019806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 W NAOMI WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 N MARKS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937224555",
            "telephone_number": "559-860-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "HARSIMRAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.