Individual provider Active NPI

Avleen Kaur Gill, DO, MPH, MS

  • Family Medicine Physician
  • Davis, CA
National Provider Identifier
1083466809
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A24419 Issued in CA
Practice address
2030 Sutter PL Ste 2000
Davis, CA 95616-6216
Phone
(916) 731-7866
NPI assigned
Apr 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A24419 CA Primary

Addresses

Primary practice location

2030 Sutter PL Ste 2000
Davis, CA 95616-6216

Mailing address

2030 Sutter PL Ste 2000
Davis, CA 95616-6216

Other identifiers 1

IdentifierTypeStateIssuer
DEAOtherCADEA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240909002222 CA Order and Referring Only - Family PracticePractitioner - Family Practice 5991245664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
20A24419CAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: agill686727@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1083466809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 SUTTER PL STE 2000",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 SUTTER PL STE 2000",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166216",
            "telephone_number": "916-731-7866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "AVLEEN",
        "middle_name": "KAUR",
        "credential": "DO, MPH, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A24419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEA",
            "identifier": "DEA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.