Rajwant K Gill I

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

241146 Issued in CA

Practice address

995 Spruce Ave
Gridley, CA 95948

Phone

(530) 301-7611

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

No

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.

• Butte County

  • Community/Behavioral Health Agency
  • Yuba City, CA
  • NPI 1831563931
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2015.

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1134594526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 HARDIAL DR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959939429",
            "telephone_number": "530-301-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 SPRUCE AVE",
            "city": "GRIDLEY",
            "state": "CA",
            "postal_code": "95948",
            "telephone_number": "530-301-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "RAJWANT",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "241146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Fairbanks, ACSW
• Mary Katheen Falconer
• Barry L Fallesen
• Feather River Inpatient Services
• Stacy L Frazer, PA
• Raveen K Grewal
• Gridley Chiropractic Center
• Gridley Healthcare & Wellness Centre, LLC
• Gridley Healthcare & Wellness Centre, LLC
• Gridley Medical Group, Inc

• All providers in Gridley, CA
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.