MEDICARE: TAJINDER KAUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	95032749	CA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95025979	CA

General Provider Information

NPI Number	:	1881386266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAJINDER KAUR

Provider Business Mailing Address
First Line	:	811 GRAND AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-3466
Country	:	US
Telephone Number	:	916-922-9868
Fax Number	:	916-922-7342

Provider Business Practice Location Address
First Line	:	811 GRAND AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-3466
Country	:	US
Telephone Number	:	916-922-9868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2023
Last Update Date	:	02/10/2026

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Directions to “ TAJINDER KAUR ” Practice Location

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