Healthcare Provider Details

I. General information

NPI: 1376463463
Provider Name (Legal Business Name): BALREET SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 EXPO PKWY
SACRAMENTO CA
95815-4230
US

IV. Provider business mailing address

9540 BALLINGER DR
SACRAMENTO CA
95829-9393
US

V. Phone/Fax

Practice location:
  • Phone: 877-978-4848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95040605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: