Gurdeep Singh
Individual provider Active NPI Family Nurse Practitioner · Merced, CA
NPI 1821607797 · NPPES record last updated Jul 27, 2020
Key facts
- NPI
- 1821607797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95014755 (CA)
- Practice address
- 4985 Webber CT
Merced, CA 95348-8540 - Phone
- (209) 761-0134
- NPI assigned
- Jul 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Owned or controlled facilities with NPI records 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of America
Practice addresses (Care Compare)
5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 9
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Health Centers of America |
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 America |
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 America |
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 America |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
May 26, 2016 May 26, 2016 |
| Community Health Centers of America |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
May 26, 2016 May 25, 2016 |
| Community Health Centers of America |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
May 26, 2016 May 25, 2016 |
| Community Health Centers of America |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
May 26, 2016 May 25, 2016 |
| Community Health Centers of America |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
May 26, 2016 May 25, 2016 |
| Community Health Centers of America |
Federally qualified health center | Corporate Officer W-2 Managing Employee |
May 26, 2016 May 25, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210414001669 | CA | Practitioner - Nurse Practitioner | 0143632380 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of America | Current |
Accepting new patients | |
| Community Health Centers of America | Current |
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
554 5th St
Ste A
Gustine, CA 95322
554 5th St
Gustine, CA 95322
Phone (209) 391-8854
489 5th St
Gustine, CA 95322
Phone (209) 854-3728
517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388
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
5320 State Highway 49 N
Mariposa, CA 95338
Phone (209) 383-5200
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95014755 | CA | Yes |
Addresses
Primary practice location
4985 Webber CT
Merced, CA 95348-8540
Mailing address
4985 Webber CT
Merced, CA 95348-8540
Phone (209) 761-0134
Other providers in Merced, CA
- Tabatha Simpson
- Julianne Christine Sims
- Tiffanie Sims
- Ajinder Singh
- Carmella Singh
- Gurpreet Singh
- Karen Singh
- Rajinder Singh
- Jacob Skillern
- Jeremy Daniel Skinner
All providers in Merced, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.