Individual provider Active NPI

Prabhjot Kaur Grewal, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1902751233
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95038755 Issued in CA
Practice address
9500 Stockdale Hwy Ste 100
Bakersfield, CA 93311-3621
Phone
(661) 836-5004
Fax
(661) 836-5088
NPI assigned
Mar 2, 2026
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 95038755 CA Primary

Addresses

Primary practice location

9500 Stockdale Hwy Ste 100
Bakersfield, CA 93311-3621

Mailing address

6029 Moonstone Peak Dr
Bakersfield, CA 93313-5923
Phone (661) 889-5881

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
I20260604002541 CA Practitioner - Nurse Practitioner 9234600842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synchrony Medical GroupGroup PAC ID 6406208362, 5 clinicians

Practice addresses (Care Compare)

9500 Stockdale Hwy
Bakersfield, CA 93311-3621
Phone (661) 836-5004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95038755CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synchrony Medical Group PastSince Oct 1, 2023 Accepting new patients

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.

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": "1772409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1902751233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 MOONSTONE PEAK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933135923",
            "telephone_number": "661-889-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 STOCKDALE HWY STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113621",
            "telephone_number": "661-836-5004",
            "fax_number": "661-836-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "PRABHJOT",
        "middle_name": "KAUR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95038755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.