Individual provider Active NPI

Kathryn E. Gill, M.D.

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1104154699
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BG2673463 Issued in CA
Practice address
1448 15TH St
Suite 207
Santa Monica, CA 90404-2756
Phone
(310) 576-2505
Fax
(310) 576-2501
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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 BG2673463 CA Primary

Addresses

Primary practice location

1448 15TH St
Suite 207
Santa Monica, CA 90404-2756

Mailing address

1448 15TH St
Suite 207
Santa Monica, CA 90404-2756
Phone (310) 576-2505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 27, 2016 through Jun 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BG2673463CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leland H. Dao, D.O. Inc Past Accepting new patients

Organizations & group practices 1

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": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1104154699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 15TH ST",
            "address_2": "SUITE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042756",
            "telephone_number": "310-576-2505",
            "fax_number": "310-576-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 15TH ST",
            "address_2": "SUITE 207",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042756",
            "telephone_number": "310-576-2505",
            "fax_number": "310-576-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KATHRYN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "BG2673463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.