Individual provider Active NPI

Mandeep Chhina, NP

  • Family Nurse Practitioner
  • Apple Valley, CA
National Provider Identifier
1982295887
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95014551 Issued in CA
Practice address
19111 Town Center Dr
Apple Valley, CA 92308-8989
Phone
(760) 221-9076
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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 NP95014551 CA Primary

Addresses

Primary practice location

19111 Town Center Dr
Apple Valley, CA 92308-8989

Mailing address

11137 Datura LN
Apple Valley, CA 92308-3641
Phone (760) 221-9076

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
I20210521002291 CA Practitioner - Nurse Practitioner 5991104010 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95014551CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Healthcare Associates, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Dhillon MD Inc CurrentSince Mar 8, 2025 Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

1890 W Main St
Barstow, CA 92311
Phone (760) 256-1422

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

700 17th St
Ste 102
Modesto, CA 95354
Phone (209) 488-3728

4120 Dale Rd
#J8266
Modesto, CA 95356

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mandeepchhina@chai.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1982295887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11137 DATURA LN",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923083641",
            "telephone_number": "760-221-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 TOWN CENTER DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088989",
            "telephone_number": "760-221-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHINA",
        "first_name": "MANDEEP",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.