Individual provider Active NPI

Dileep Shergill, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1033955729
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030378 Issued in CA
Practice address
582 Market St Ste 1608
San Francisco, CA 94104-5317
Phone
(833) 931-1716
NPI assigned
Jul 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95030378 CA Primary

Addresses

Primary practice location

582 Market St Ste 1608
San Francisco, CA 94104-5317

Mailing address

2681 Northern Cross Rd
Hayward, CA 94545-4764
Phone (510) 576-9692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903002425 CA Practitioner - Nurse Practitioner 0042759177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030378CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Well Coast Medical Corporation Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Well Coast Psychiatric Inc. a Nursing Corp Psychiatric/Mental Health PastSince Jul 7, 2024 Accepting new patients

Locations

2900 Bristol St
Costa Mesa, CA 92626
Phone (714) 557-9454

4295 Gesner St
Ste 2E
San Diego, CA 92117
Phone (619) 276-9271

582 Market St
Ste 1608
San Francisco, CA 94104
Phone (415) 521-1506

6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1033955729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 NORTHERN CROSS RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454764",
            "telephone_number": "510-576-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 MARKET ST STE 1608",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045317",
            "telephone_number": "833-931-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERGILL",
        "first_name": "DILEEP",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.