Individual provider Active NPI

Ravinder K Bhullar

  • Nurse Practitioner
  • Reedley, CA
National Provider Identifier
1982448577
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95030465 Issued in CA
Practice address
1093 11TH St
Reedley, CA 93654-2950
Phone
(559) 743-7340
NPI assigned
Jun 19, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95030465 CA Primary

Addresses

Primary practice location

1093 11TH St
Reedley, CA 93654-2950

Mailing address

1093 11TH St
Reedley, CA 93654-2950

Other names 1

  • Ravinder K Bhullar Former name

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
I20240725004758 CA Practitioner - Nurse Practitioner 4183160161 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030465CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Javier Amu,M.D. Professional Corporation CurrentSince Nov 17, 2024 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Jul 1, 2024 Accepting new patients
Geri Connection CurrentSince Jul 1, 2024 Accepting new patients
Myndfull Care Management California PC CurrentSince Jul 1, 2024 Accepting new patients
Myndfull Care California PC CurrentSince Jul 1, 2024 Accepting new patients

Locations

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

1093 11th St
Reedley, CA 93654
Phone (559) 743-7340

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (760) 978-8596

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, 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": "1718755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1982448577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 11TH ST",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542950",
            "telephone_number": "559-743-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHULLAR",
        "first_name": "RAVINDER",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVINDER",
            "last_name": "BHULLAR",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.