PRABHJIT S. PUREWAL MD INC. NPI 1831206432

NPI Information

NPI: 1831206432
Provider Name: PRABHJIT S. PUREWAL, MD, INC.
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address: 200 COTTAGE AVE
STE 201
MANTECA, CA
ZIP 95336
Phone: (209) 477-2000

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NPI Details

PRABHJIT S. PUREWAL, MD, INC. is a non pharmacy dispensing site in Manteca, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PRABHJIT S. PUREWAL, MD, INC. NPI is 1831206432. The provider is registered as an organization entity type.

The provider's business location address is:

200 COTTAGE AVE
STE 201
MANTECA, CA
ZIP 95336-935
Phone: (209) 477-2000
Fax: (209) 477-0248

The provider's authorized official is Prabhjit Purewal .
The authorized official title is Ceo and has the following contact phone number (209) 477-2000.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 6/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332900000X	Non-Pharmacy Dispensing Site		A48423	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5622368	OTHER		OTHER ID NUMBER-COMMERCIAL NUMBER
2	5622368	OTHER		OTHER ID NUMBER
3	00A48423	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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