NPIMap

Organization Active NPI

Klearmind Apmc

  • Anesthesiology Physician
  • Roseville, CA
National Provider Identifier
1780380535
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
KLEARMIND APMC
Practice address
1249 Pleasant Grove Blvd Ste 100
Roseville, CA 95678-6977
Phone
(916) 900-6686
NPI assigned
Feb 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Amanjot DhanoaNPI 1063118818
Title
VP
Phone
(916) 900-6686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1249 Pleasant Grove Blvd Ste 100
Roseville, CA 95678-6977

Mailing address

1249 Pleasant Grove Blvd Ste 100
Roseville, CA 95678-6977
Phone (916) 900-6686

Other identifiers 2

IdentifierTypeStateIssuer
1932198272MedicaidCA
1295924215MedicaidCA

National Provider Directory

National Provider Directory

Locations

1249 Pleasant Grove Blvd
Ste 100
Roseville, CA 95678
Phone (916) 900-6686

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1780380535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 PLEASANT GROVE BLVD STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786977",
            "telephone_number": "916-900-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 PLEASANT GROVE BLVD STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786977",
            "telephone_number": "916-900-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEARMIND APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "DHANOA",
        "authorized_official_first_name": "AMANJOT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "916-900-6686"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932198272",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295924215",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.

Verify at the official NPI Registry.