MRS. MANJU KAUR CPNP
NPI 1174963177
Nurse Practitioner - Pediatrics in Riverside, CA
About Mrs. Manju Kaur Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MANJU KAUR CPNP (NPI 1174963177) is an individual pediatrics provider in Riverside, California, licensed in California (20914) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Manju Kaur Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Manju Kaur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Riverside, CA 92506
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92503
RIVERSIDE, CA 92503
RIVERSIDE, CA 92503
RIVERSIDE, CA 92503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Manju Kaur's NPI number?
The NPI number for Manju Kaur is 1174963177. It was assigned to this individual provider in the NPPES registry on July 5, 2013.
Where is Manju Kaur located?
Manju Kaur practices at 3975 Jackson St, Riverside, CA 92503. The listed phone number is (951) 352-2092.
What is Manju Kaur's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Manju Kaur enrolled in Medicare?
Yes. Manju Kaur is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Manju Kaur's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manju Kaur reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Riverside, CA) and Faculty Physicians And Surgeons Of Llusm (Riverside, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manju Kaur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Manju Kaur was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Manju Kaur, CPNP · NPI 1174963177
Pediatrics physician in Riverside, California. Individual provider, active in the CMS NPPES registry since July 5, 2013.
## Identity
- **NPI:** 1174963177 (Entity type: Individual)
- **Enumerated:** July 5, 2013
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 20914 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3975 JACKSON ST, Riverside, CA 92503-3901
- **Phone:** (951) 352-2092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA); Faculty Physicians And Surgeons Of Llusm (NPI 1013967405, Riverside, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 6, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1174963177) · Data from the CMS NPPES public registry.