Healthcare Provider Details

I. General information

NPI: 1457238966
Provider Name (Legal Business Name): NAVJOT KAUR KHEHRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2025
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7959 ORANGE AVE
FAIR OAKS CA
95628-5916
US

IV. Provider business mailing address

PO BOX 148
ROSEVILLE CA
95678-0148
US

V. Phone/Fax

Practice location:
  • Phone: 661-205-1266
  • Fax:
Mailing address:
  • Phone: 661-205-1266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number239984
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: