Individual provider Active NPI

Kawal Preet Singh, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dublin, CA
National Provider Identifier
1952950149
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95013466 Issued in CA
Practice address
5325 Broder Blvd
Dublin, CA 94568-3309
Phone
(925) 551-6701
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013466 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95013466 CA Primary

Addresses

Primary practice location

5325 Broder Blvd
Dublin, CA 94568-3309

Mailing address

5325 Broder Blvd
Dublin, CA 94568-3309

Other practice location 1

7200 Bancroft Ave
Oakland, CA 94605-2403
Phone (510) 777-3800

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
I20210610003236 CA Practitioner - Nurse Practitioner 6204236318 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013466CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda County CurrentSince May 5, 2021 Accepting new patients
Bonita House, Inc. Current Accepting new patients
Bonita House, Inc. CurrentSince Sep 4, 2023 Accepting new patients
Brett V. Curtis, MD, a Professional Corporation, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Alameda County Current Accepting new patients

Locations

1919 Addison St
Ste 204
Berkeley, CA 94704
Phone (510) 899-7445

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

39155 Liberty St
Ste G710
Fremont, CA 94538
Phone (510) 795-2434

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

7428 Redwood Blvd
Ste 100
Novato, CA 94945
Phone (415) 895-5216

1605 Jefferson St
Oakland, CA 94612
Phone (510) 899-7445

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

6333 Telegraph Ave
Ste 102
Oakland, CA 94609
Phone (510) 548-2269

411 3rd St
San Rafael, CA 94901
Phone (415) 854-7159

Organizations & group practices 5

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1952950149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 BRODER BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 BRODER BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683309",
            "telephone_number": "925-551-6701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Bancroft Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946052403",
            "country_code": "US",
            "telephone_number": "510-777-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "KAWAL",
        "middle_name": "PREET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013466",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95013466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.