Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1902801012 Deactivated / Inactive NPI Male Practitioner

Dr. Prabhjit S Purewal , MD

Specialist • Manteca, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Prabhjit Purewal has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2005
NPI Deactivation Date May 13, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Prabhjit Purewal, MD was a registered Specialist practicing in Manteca, CA. Throughout an active medical career spanning 14 years, Dr. Purewal provided care at the practice location at 165 ST. DOMINIC'S DR until profile deactivation on 2019-05-13.

Historical Medicare Part B clinical services included injection, ondansetron hydrochloride, per 1 mg, injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

165 St. Dominic's Dr
Ste 120, 140

Manteca, CA 953377802

Telephone 2098230000
Fax 2098241449
Associated Practice Facility / Clinic
🏢 Prabhjit S. Purewal, Md, Inc. Facility NPI 1548239338

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Manteca, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Manteca, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J2405 Injection, ondansetron hydrochloride, per 1 mg
378 15 $5.00 $0.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg
270 15 $1.00 $0.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
243 124 $150.00 $109.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
219 114 $20.00 $8.29
36415 Insertion of needle into vein for collection of blood sample
187 106 $20.00 $2.94
96415 Administration of chemotherapy into vein, each additional hour
87 16 $75.00 $28.74
J7050 Infusion, normal saline solution, 250 cc
78 21 $20.00 $0.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
63 23 $38.00 $17.25
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour
56 19 $40.00 $21.36
J1200 Injection, diphenhydramine hcl, up to 50 mg
52 18 $10.00 $0.51
96368 Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion
45 17 $45.00 $20.71
96413 Infusion of chemotherapy into a vein up to 1 hour
43 17 $335.00 $140.70
36410 Insertion of needle into vein, patient 3 years or older
33 25 $20.00 $18.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
16 16 $265.00 $210.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
13 12 $200.00 $140.23

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA A48423

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 13, 2019

Record deactivated on May 13, 2019

NPI Profile Active April 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 06, 2011

Registered at 165 ST. DOMINIC'S DR, STE 120, 140, MANTECA, CA 953377802 (Tel: 2098230000)

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Updated Business Mailing Address April 06, 2011

Registered at PO BOX 7935, STOCKTON, CA 952670935 (Tel: 2098230000)

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Provider Name / Credentials Updated April 06, 2011

Recorded as PRABHJIT PUREWAL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2011

Specialist (License #A48423 in CA)

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Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902801012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2005
Last Update: April 06, 2011
Deactivation Date: May 13, 2019

Mailing Address

Po Box 7935

Stockton, CA 952670935

Phone: 2098230000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.