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NPISignal

Individual Healthcare Provider

Manreet S Atwal

NPI Record: ActiveSupports Brokerage
NPI1073329736
Stockton, California

Provider's NPPES record last updated: June 11, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1073329736
Primary Specialty
Supports Brokerage
Practice Location
Stockton, California
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 12:05 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Supports Brokerage

    Agencies

    Primary

    A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services.

    Taxonomy code 251X00000X

Practice Locations

Practice Location

9552 Bismark Pl

Stockton, California 95209-1574

Phone: (209) 663-5776

Additional Practice Location

1524 Bandoni Dr

Stockton, California 95206-3865

Phone: (209) 663-5776

Additional Practice Location

3966 Collins Rd

Ceres, California 95307-4111

Phone: (209) 663-5776

Additional Practice Location

2087 Holt Dr

Lodi, California 95242-4812

Phone: (209) 663-5776

Additional Practice Location

227 E Downs St

Stockton, California 95204-2005

Phone: (209) 663-5776

Additional Practice Location

147 W Oak St

Stockton, California 95202-1921

Phone: (209) 663-5776

Record Information

Enumeration Date
December 7, 2024
Provider's NPPES Record Last Updated
June 11, 2025
Certification Date
June 11, 2025
NPISignal NPPES Dataset
August 2026

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