Individual provider Active NPI

Kulvir Singh Nijjar, DC

  • Chiropractor
  • Elk Grove, CA
National Provider Identifier
1942052121
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
36395 Issued in CA
Practice address
9186 Harbour Point Dr
Elk Grove, CA 95758-7161
Phone
(916) 895-4167
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 36395 CA Primary

Addresses

Primary practice location

9186 Harbour Point Dr
Elk Grove, CA 95758-7161

Mailing address

8495 McGray Way
Elk Grove, CA 95624-4121
Phone (916) 947-2174

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

State licenses

LicenseStateTypeSpecialty
36395CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Recovery, a Nijjar Chiropractic Corporation Chiropractor CurrentSince Apr 9, 2024 Accepting new patients

Locations

9186 Harbour Point Dr
Elk Grove, CA 95758
Phone (916) 895-4167

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.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1942052121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 MCGRAY WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244121",
            "telephone_number": "916-947-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9186 HARBOUR POINT DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587161",
            "telephone_number": "916-895-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIJJAR",
        "first_name": "KULVIR",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.