Individual provider Active NPI

Tajinder Kaur Kullar, FNP

  • Family Nurse Practitioner
  • Chico, CA
National Provider Identifier
1841768108
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010215 Issued in CA
Practice address
35 Jan CT Ste 150
Chico, CA 95928-4418
Phone
(530) 899-8853
NPI assigned
Nov 5, 2018
Last updated
Nov 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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 95010215 CA Primary

Addresses

Primary practice location

35 Jan CT Ste 150
Chico, CA 95928-4418

Mailing address

35 Jan CT Ste 150
Chico, CA 95928-4418
Phone (530) 899-8853

Other practice location 1

1558 Poole Blvd Ste B
Yuba City, CA 95993-2667
Phone (530) 674-2328

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
I20190416002658 CA Practitioner - Nurse Practitioner 3971844135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Sleep Centers IncGroup PAC ID 8921326760, 6 clinicians

Practice addresses (Care Compare)

35 Jan CT
Suite 150
Chico, CA 95928-4418
Phone (530) 899-8853

Merit-based Incentive Payment System (MIPS)

Final score
93.21 of 100Reported as group
Quality
91.64
Promoting interoperability
93
Improvement activities
40
Cost
75.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Specialty Physicians, Inc CurrentSince Nov 28, 2022 Accepting new patients

Locations

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

Interoperability endpoints

  • Direct secure messaging: tajinder.kullar.1@17033.direct.athenahealth.com

Organizations & group practices 2

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1841768108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JAN CT STE 150",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284418",
            "telephone_number": "530-899-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JAN CT STE 150",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284418",
            "telephone_number": "530-899-8853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1558 Poole Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959932667",
            "country_code": "US",
            "telephone_number": "530-674-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULLAR",
        "first_name": "TAJINDER",
        "middle_name": "KAUR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.