Individual provider Active NPI

Gaganpreet Kaur, NP

  • Family Nurse Practitioner
  • Ceres, CA
National Provider Identifier
1821551953
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011552 Issued in CA
Practice address
3875 Northern Oak Dr
Ceres, CA 95307-7149
Phone
(209) 450-1484
NPI assigned
Apr 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 95011552 CA Primary

Addresses

Primary practice location

3875 Northern Oak Dr
Ceres, CA 95307-7149

Mailing address

3875 Northern Oak Dr
Ceres, CA 95307-7149
Phone (209) 450-1484

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
I20190812003266 CA Practitioner - Nurse Practitioner 2466789524 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexander Y Chan, MD IncGroup PAC ID 7517044811, 3 clinicians
Caremed Medical GroupGroup PAC ID 8426499419, 5 clinicians
Access Physician IncGroup PAC ID 7315291473, 6 clinicians
Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

Practice addresses (Care Compare)

1111 E Tuolumne Rd
Turlock, CA 95382-1541
Phone (209) 632-7577

1805 N California St
Suite 303
Stockton, CA 95204-6033
Phone (209) 888-4340

4568 Feather River Dr
Suite D
Stockton, CA 95219-6508
Phone (209) 395-2360

5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344

Merit-based Incentive Payment System (MIPS)

Final score
98.95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
63.15

Merit-based Incentive Payment System (MIPS)

Final score
94.1 of 100Reported as group
Quality
68.2
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince May 1, 2024 Accepting new patients
Lumira Healthcare Single Specialty Current Accepting new patients
All Inclusive Medical Services, Inc Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Access Physician Inc. Single Specialty CurrentSince Mar 27, 2023 Accepting new patients
Community Health Centers of America Single Specialty CurrentSince May 1, 2024 Accepting new patients
Alexander Y Chan, MD Inc Single Specialty CurrentSince Jun 6, 2022 Accepting new patients
Lumira Healthcare CurrentSince Jul 1, 2019 Accepting new patients
Lumira Healthcare CurrentSince Jul 1, 2019 Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388

1140 Main St
Livingston, CA 95334
Phone (209) 394-7913

600 B St
Ste B
Livingston, CA 95334
Phone (209) 850-3500

1617 Main St
Livingston, CA 95334
Phone (209) 394-7913

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097

850 W Olive Ave
Merced, CA 95348
Phone (209) 437-9410

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

3620 Dale Rd
Ste B
Modesto, CA 95356
Phone (209) 521-1798

4568 Feather River Dr
Ste D
Stockton, CA 95219
Phone (209) 395-2360

2453 Naglee Rd
Tracy, CA 95304
Phone (209) 395-2360

1111 E Tuolumne Rd
Turlock, CA 95382
Phone (209) 632-7577

Interoperability endpoints

  • Direct secure messaging: gaganpreet.kaur.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1821551953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3875 NORTHERN OAK DR",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953077149",
            "telephone_number": "209-450-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 NORTHERN OAK DR",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953077149",
            "telephone_number": "209-450-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GAGANPREET",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-06",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

Verify at the official NPI Registry.