Individual provider Active NPI

Gurdeep Singh

  • Family Nurse Practitioner
  • Merced, CA
National Provider Identifier
1821607797
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014755 Issued in CA
Practice address
4985 Webber CT
Merced, CA 95348-8540
Phone
(209) 761-0134
NPI assigned
Jul 27, 2020
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95014755 CA Primary

Addresses

Primary practice location

4985 Webber CT
Merced, CA 95348-8540

Mailing address

4985 Webber CT
Merced, CA 95348-8540
Phone (209) 761-0134

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
I20210414001669 CA Practitioner - Nurse Practitioner 0143632380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Nov 15, 2017 Accepting new patients
Community Health Centers of America CurrentSince Mar 1, 2021 Accepting new patients
Ran Health Services, Inc. Past Accepting new patients

Locations

101 N Front St
Ste B
Chowchilla, CA 93610
Phone (559) 201-9181

489 5th St
Gustine, CA 95322
Phone (209) 854-3728

554 5th St
Gustine, CA 95322
Phone (209) 733-9360

554 5th St
Ste A
Gustine, CA 95322

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

5320 State Highway 49 N
Mariposa, CA 95338
Phone (209) 233-1749

5320 State Highway 49 N
Ste 1
Mariposa, CA 95338
Phone (209) 966-2225

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

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Centers of AmericaMariposa, CA, CCN 921905 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Nov 15, 2017
Nov 15, 2017
Nov 15, 2017
Community Health Centers of AmericaLivingston, CA, CCN A01029 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Nov 15, 2017
Nov 15, 2017
Nov 15, 2017
Community Health Centers of AmericaGustine, CA, CCN A01072 Federally qualified health center Corporate Officer
W-2 Managing Employee
Operational/Managerial Control
Nov 15, 2017
Nov 17, 2017
Nov 15, 2017
Community Health Centers of AmericaMC Farland, CA, CCN 051960 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 26, 2016
May 26, 2016
Community Health Centers of AmericaGustine, CA, CCN 921097 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 26, 2016
May 25, 2016
Community Health Centers of AmericaFair Oaks, CA, CCN A01813 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 26, 2016
May 25, 2016
Community Health Centers of AmericaSacramento, CA, CCN A01194 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 26, 2016
May 25, 2016
Community Health Centers of AmericaChowchilla, CA, CCN A01819 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 26, 2016
May 25, 2016
Community Health Centers of AmericaMerced, CA, CCN A01898 Federally qualified health center Corporate Officer
W-2 Managing Employee
May 26, 2016
May 25, 2016

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1821607797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 WEBBER CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953488540",
            "telephone_number": "209-761-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4985 WEBBER CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953488540",
            "telephone_number": "209-761-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GURDEEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.