Individual provider Active NPI

Amneet Kaur Brar, NP

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1831730514
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
95101423 Issued in CA
Practice address
4695 Macarthur CT # 1112a
Newport Beach, CA 92660-1882
Phone
(084) 446-9226
NPI assigned
Oct 3, 2019
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95012840 CA
Dermatology Physician 207N00000X 95101423 CA Primary

Addresses

Primary practice location

4695 Macarthur CT # 1112a
Newport Beach, CA 92660-1882

Mailing address

2234 Vermont Ave
Clovis, CA 93619-4283
Phone (559) 260-0566

Other practice location 1

7055 N Fresno St Ste 310
Fresno, CA 93720-2957
Phone (559) 446-0285

Other practice location 2

5717 Pacific Center Blvd Ste 200
San Diego, CA 92121-4250
Phone (858) 859-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95101423CAMDDermatology Physician
95012840CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Skin and Cancer Medical Center, Inc. Dermatology CurrentSince Oct 1, 2019 Accepting new patients

Locations

7055 N Fresno St
Ste 310
Fresno, CA 93720
Phone (559) 446-0285

Organizations & group practices 1

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1831730514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 VERMONT AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936194283",
            "telephone_number": "559-260-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT # 1112A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "084-446-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7055 N Fresno St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202957",
            "country_code": "US",
            "telephone_number": "559-446-0285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5717 Pacific Center Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921214250",
            "country_code": "US",
            "telephone_number": "858-859-1188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAR",
        "first_name": "AMNEET",
        "middle_name": "KAUR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012840",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "95101423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.