Mandeep Singh Nagra, MB,BS

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A81237 Issued in CA

Practice address

3315 Chanate Rd Ste 1E
Santa Rosa, CA 95404-1740

Phone

(707) 570-3855

Fax

(707) 570-3850

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851325914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 N GARDNER RIVER WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 CHANATE RD STE 1E",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041740",
            "telephone_number": "707-570-3855",
            "fax_number": "707-570-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGRA",
        "first_name": "MANDEEP",
        "middle_name": "SINGH",
        "credential": "MB,BS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Nadler
• John George Nadra
• Elizabeth Ann Naegle, RN
• Kian Nafeiy
• Pretty Nagindas
• Jenny D Nagy
• Yuichiro David Nakai, M.D.
• Amanda Lynne Nalywaiko
• Hind Zaid Namiq
• Christina Nampudakam

• Internal Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.