Individual provider Active NPI

Moninderpal Kaur

  • Psychiatric/Mental Health Nurse Practitioner
  • Sun Valley, CA
National Provider Identifier
1881469682
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95025403 Issued in CA
Practice address
9449 San Fernando Rd
Sun Valley, CA 91352-1421
Phone
(818) 767-3310
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95025403 CA Primary

Addresses

Primary practice location

9449 San Fernando Rd
Sun Valley, CA 91352-1421

Mailing address

17424 San Jose St
Granada Hills, CA 91344-6050
Phone (818) 282-6453

Other practice location 1

9449 San Fernando Rd
Sun Valley, CA 91352-1421
Phone (818) 767-3310 ext. 2273

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
I20240415003574 CA Practitioner - Nurse Practitioner 8628417284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Mehboob Makhani MD a Professional CorporationGroup PAC ID 9133387442, 9 clinicians

Practice addresses (Care Compare)

17075 Devonshire St
Suite 204
Northridge, CA 91325-5408
Phone (818) 717-8464

Hospital & facility affiliations

  • Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95025403CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mehboob Makhani MD a Professional Corporation CurrentSince Jan 31, 2024 Accepting new patients

Locations

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1881469682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17424 SAN JOSE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446050",
            "telephone_number": "818-282-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 SAN FERNANDO RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913521421",
            "telephone_number": "818-767-3310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9449 San Fernando Rd",
            "address_purpose": "LOCATION",
            "city": "Sun Valley",
            "state": "CA",
            "postal_code": "913521421",
            "country_code": "US",
            "telephone_number": "818-767-3310 x2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MONINDERPAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95025403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

Verify at the official NPI Registry.