SANDEEP KAUR – Family Nurse Practitioner, NPI 1063267649

SANDEEP KAUR is a healthcare provider. based in San diego, California. specializing in NURSE PRACTITIONER. They hold a License No. 95022611 (CA). The NPI Number for SANDEEP KAUR is 1063267649

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SANDEEP KAUR
NPI
1063267649
Phone
(800) 316-6314
Address
404 CAMINO DEL RIO S STE 102
Enumeration Date
18 April 2024
Last Update Date
18 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6613262000
Graduation Year
2022 (4 years ago)
PAC ID
2769903343
Group Practice PAC ID
4688964521
Professional Enrollment ID
I20250312000339
Address ID
CA933064018BA1700XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for SANDEEP KAUR

  • 404 CAMINO DEL RIO S STE 102

    SAN DIEGO, CA 921083586

    Phone: (800) 316-6314

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250312000339INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688964521View full group profile
NameSpecialtyState
-NY
-CA
General SurgeryNY
-CA
Nephrology, Internal MedicineCA
-CA
Internal MedicineCA
Internal MedicineWV
Nurse PractitionerCA
Emergency MedicineCA

Reviews

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Frequently asked questions

What is the registry number for SANDEEP KAUR?
The registry entry for SANDEEP KAUR shows NPI 1063267649.
Should I treat SANDEEP KAUR as an active provider?
Patients and plans typically see SANDEEP KAUR as active in the national extract.
What does the directory say SANDEEP KAUR does?
Insurance directories may phrase it differently, but here SANDEEP KAUR maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit SANDEEP KAUR in San Diego, California?
For routing, start with San Diego, California for SANDEEP KAUR, then verify phone and hours locally.
Why is information missing for SANDEEP KAUR?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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