Active NPI
Fiel Donquila Gamad, FNP-C, PMHNP-BC
- Family Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95000474
- Practice address
- 1130 Coffee Rd Ste 10
Modesto, CA 95355-4228 - Phone
- (559) 624-6090
- NPI assigned
- Mar 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 676426 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95000474 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95000474 | CA | Primary |
Addresses
Primary practice location
1130 Coffee Rd Ste 10
Modesto, CA 95355-4228
Mailing address
3916 Lakeside Dr
Modesto, CA 95355-7312
Phone (559) 495-8659
Other practice location 1
1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone (877) 515-8113
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1130 Coffee Rd
Suite 10
Modesto, CA 95355-4228
Phone (209) 522-9054
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 676426 | CA | MD | Registered Nurse |
| 95000474 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-California | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Ehab Yacoub MD Inc. | Current | Accepting new patients | |
| Long Term Care Medical Group, Inc | Current | Accepting new patients | |
| Pinnacle Emergency Physicians of Bakersfield, a Professional Corp | Current | Accepting new patients | |
| Memory Check Psychological Services, a Professional Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Aspen Family Medical Group of Modesto, Inc. | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Kaweah Delta Health Care District | Current | Accepting new patients | |
| Pinnacle Emergency Physicians of Bakersfield, a Professional Corp | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664
17777 Center Court Dr N
Ste 600
Cerritos, CA 90703
Phone (562) 354-3099
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444
925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113
1130 Coffee Rd
Ste 10
Modesto, CA 95355
Phone (209) 312-9865
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929
348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496
7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400
1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Premium Mental Health Services
- Family Medicine Physician
- Modesto, CA
- NPI 1467533737
-
dba Brain Health USA
- Child & Adolescent Psychiatry Physician
- Gardena, CA
- NPI 1417373713
-
dba Kaweah Health Cardiothoracic Surgery Clinic
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1326704529
-
dba Kaweah Health Urgent Care
- Urgent Care Clinic/Center
- Visalia, CA
- NPI 1790795458
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1356479877
-
- Clinical Psychologist
- Carlsbad, CA
- NPI 1912184219
Psychiatric/Mental Health
-
dba Pinnacle Emergency Physicians of Bakersfield A Professional
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1619153251
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba Kaweah Health Youth Crisis Stabilization Unit
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1447016050
-
dba Kaweah Health Medical Clinic - Willow
- Multi-Specialty Clinic/Center
- Visalia, CA
- NPI 1740688894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1114342805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 LAKESIDE DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953557312",
"telephone_number": "559-495-8659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 COFFEE RD STE 10",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554228",
"telephone_number": "559-624-6090"
}
],
"practiceLocations": [
{
"address_1": "1225 W 190th St Ste 280",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902484305",
"country_code": "US",
"telephone_number": "877-515-8113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMAD",
"first_name": "FIEL",
"middle_name": "DONQUILA",
"credential": "FNP-C, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-04",
"last_updated": "2024-05-02",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN 676426",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95000474",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95000474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.