Kavneet Sandhu, MSN, NP
Individual provider Active NPI Family Nurse Practitioner · Fresno, CA
NPI 1992234827 · NPPES record last updated Jun 5, 2017
Key facts
- NPI
- 1992234827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95004706 (CA)
- Practice address
- 5771 N Fresno St Ste 109
Fresno, CA 93710-6091 - Phone
- (559) 222-6500
- NPI assigned
- Jun 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fresno Long Term Care Medical Group Inc
Practice addresses (Care Compare)
5150 N 6TH St
Suite 149
Fresno, CA 93710-7505
Phone (559) 222-6500
Hospital & facility affiliations
- HCC Healthcare at Home
- Kure Home Health
- Inhome Healthcare Services
- Valley Home Health
- Valley Regional Home Health, Inc
- Saint Agnes Medical Center
- Clovis Community Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170808003452 | CA | Practitioner - Nurse Practitioner | 8224309331 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresno Long Term Care Medical Group Inc. | Current |
Accepting new patients | |
| Senior Care Medical Providers Inc | Current |
Accepting new patients | |
| Careconnectmd Ca PC | Current |
Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
5150 N 6th St
Ste 149
Fresno, CA 93710
Phone (559) 222-6500
5771 N Fresno St
Ste 109
Fresno, CA 93710
Phone (559) 222-6500
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95004706 | CA | Yes |
Addresses
Primary practice location
5771 N Fresno St Ste 109
Fresno, CA 93710-6091
Mailing address
10874 Bernadine Ave
Clovis, CA 93619-5223
Phone (559) 355-0269
Other providers in Fresno, CA
- Jagsir Singh Sandhu
- Jasmeet Kaur Sandhu
- Kamal Preet Kaur Sandhu
- Kamlesh K. Sandhu
- Karanvir Sandhu
- Lakhjit S Sandhu
- Manpreet Sandhu
- Narinderpal S Sandhu
- Natasha Sandhu
- Navneet Kaur Sandhu
All providers in Fresno, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.