Healthcare Provider Details

I. General information

NPI: 1033892575
Provider Name (Legal Business Name): SARABJIT KAUR CHAHAL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2023
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 SILLECT AVE STE 205
BAKERSFIELD CA
93308-6362
US

IV. Provider business mailing address

PO BOX 1756
BAKERSFIELD CA
93302-1756
US

V. Phone/Fax

Practice location:
  • Phone: 661-865-5365
  • Fax: 661-495-3025
Mailing address:
  • Phone: 661-328-8904
  • Fax: 661-310-9506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95026517
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: