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POONAM SEWAK NP
NPI 1639977077
Nurse Practitioner in Modesto, CA

Active since March 03, 2025
1317 OAKDALE RD STE 800, MODESTO, CA 95355(833) 478-1818(833) 478-1817 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poonam Sewak Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POONAM SEWAK NP (NPI 1639977077) is an individual nurse practitioner in Modesto, California, licensed in California (95034183) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1639977077
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePOONAM SEWAKCredential: NP
Location Address1317 OAKDALE RD STE 800Modesto, CA 95355-3366
Mailing Address3550 Q St Ste 304cBakersfield, CA 93301-1662
Phone(833) 478-1818
Fax(833) 478-1817
Sole ProprietorNo
Enumeration DateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1639977077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95034183
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1317 OAKDALE RD STE 800, Modesto, CA 95355
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Physical Medicine & Rehabilitation (Pain Medicine)
1317 OAKDALE RD STE 800
MODESTO, CA 95355
Stanislaus County (209) 284-0729
LAGS SPINE AND SPORTSCARE MEDICAL CENTERS, INC.
Psychiatry & Neurology (Addiction Medicine)
1317 OAKDALE RD STE 800
MODESTO, CA 95355
Stanislaus County (209) 284-0729
JAISLEEN DHALIWAL
Nurse Practitioner (Family)
1317 OAKDALE RD STE 800
MODESTO, CA 95355
Stanislaus County (833) 478-1818
MILA AMERINE-DICKENS BCBA
Behavior Analyst
1317 OAKDALE RD STE 800
MODESTO, CA 95355
Stanislaus County (209) 521-4791

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 Poonam Sewak's NPI number?

The NPI number for Poonam Sewak is 1639977077. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Poonam Sewak located?

Poonam Sewak practices at 1317 Oakdale Rd Ste 800, Modesto, CA 95355. The listed phone number is (833) 478-1818.

What is Poonam Sewak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Poonam Sewak was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.