Individual provider Active NPI

Amandeep Kaur

  • Family Nurse Practitioner
  • Dinuba, CA
National Provider Identifier
1982300455
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024094 Issued in CA
Practice address
1758 Asa Gray Way
Dinuba, CA 93618-8841
Phone
(559) 393-4228
NPI assigned
Feb 6, 2023
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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 95024094 CA Primary

Addresses

Primary practice location

1758 Asa Gray Way
Dinuba, CA 93618-8841

Mailing address

1758 Asa Gray Way
Dinuba, CA 93618-8841
Phone (559) 393-4228

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
I20231004003442 CA Practitioner - Nurse Practitioner 8022463447 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Sep 1, 2023 Accepting new patients
California Dreams Medical Corporation PC CurrentSince Aug 22, 2023 Accepting new patients
Reedley Community Hospital CurrentSince Sep 1, 2023 Accepting new patients

Locations

3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1982300455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 ASA GRAY WAY",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936188841",
            "telephone_number": "559-393-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 ASA GRAY WAY",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936188841",
            "telephone_number": "559-393-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "AMANDEEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dinuba, CA

Sources for this page

Verify at the official NPI Registry.