Prabhjit S. Purewal, MD, Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A48423 Issued in CA

Legal business name

PRABHJIT S. PUREWAL, MD, INC.

Practice address

200 Cottage Ave
Ste 201
Manteca, CA 95336-4935

Phone

(209) 477-2000

Fax

(209) 477-0248

NPI assigned

Aug 23, 2006

Last updated

Jun 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prabhjit Purewal

Title

Ceo

Phone

(209) 477-2000

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Prabhjit S Purewal MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Prabhjit S. Purewal, MD, Inc

  • Specialist
  • Manteca, CA
  • NPI 1649222118
  NPD tax ID
• Prabhjit S. Purewal, MD, Inc.

  • Specialist
  • Stockton, CA
  • NPI 1063620888
  NPD tax ID

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1831206432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7935",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COTTAGE AVE",
            "address_2": "STE 201",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364935",
            "telephone_number": "209-477-2000",
            "fax_number": "209-477-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRABHJIT S. PUREWAL, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "PRABHJIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-477-2000"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A48423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5622368",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A48423",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5622368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delosmilagros Plaza de Loza, LVN
• Deborah Podbreger
• Nancy Beatriz Ponce Escobar, BA
• Prabhjit S. Purewal, MD, Inc
• Prabhjit S. Purewal, MD, Inc.
• Araceli Hernandez Prado
• Elizabeth Preciado
• Clinton Earl Prescott Jr., M.D.
• Dajea Price
• Prime Path Medical Transport LLC

• Non-Pharmacy Dispensing Site in Manteca, CA
• Providers in Manteca, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.