Individual provider Active NPI

Kavneet Sandhu, MSN, NP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1992234827
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004706 Issued in CA
Practice address
5771 N Fresno St Ste 109
Fresno, CA 93710-6091
Phone
(559) 222-6500
NPI assigned
Jun 5, 2017
Last updated
Jun 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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 95004706 CA Primary

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

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
I20170808003452 CA Practitioner - Nurse Practitioner 8224309331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 2163310749, 6 clinicians

Practice addresses (Care Compare)

5150 N 6TH St
Suite 149
Fresno, CA 93710-7505
Phone (559) 222-6500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnectmd Ca PC CurrentSince Jun 28, 2023 Accepting new patients
Senior Care Medical Providers Inc CurrentSince Aug 25, 2025 Accepting new patients
Fresno Long Term Care Medical Group Inc. CurrentSince Jan 27, 2018 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

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1992234827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10874 BERNADINE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195223",
            "telephone_number": "559-355-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 N FRESNO ST STE 109",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106091",
            "telephone_number": "559-222-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "KAVNEET",
        "credential": "MSN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.