Individual provider Active NPI

Manpreet Gill, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • La Jolla, CA
National Provider Identifier
1144875535
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
A180790 Issued in CA
Practice address
8950 Villa la Jolla Dr Ste C101
La Jolla, CA 92037-1727
Phone
(619) 543-5221
NPI assigned
Aug 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X A180790 CA Primary

Addresses

Primary practice location

8950 Villa la Jolla Dr Ste C101
La Jolla, CA 92037-1727

Mailing address

1600 California Dr.
Vacaville, CA 95687

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
I20230728002266 CA Practitioner - Psychiatry 0143681726 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180790CAMDAddiction Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Jan 29, 2024 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 6, 2023 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 6, 2023 Accepting new patients
M. Gill, MD, P.C. Inc CurrentSince Mar 1, 2025 Accepting new patients
Neighborhood Healthcare CurrentSince Jan 29, 2024 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients

Locations

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

40886 Goodwin Way
Madera, CA 93636
Phone (559) 603-6000

13010 Poway Rd
Poway, CA 92064
Phone (858) 218-3000

1400 Expo Pkwy
Sacramento, CA 95815
Phone (661) 398-1800

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545

Organizations & group practices 6

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": "1564790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1144875535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CALIFORNIA DR.",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 VILLA LA JOLLA DR STE C101",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371727",
            "telephone_number": "619-543-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "MANPREET",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A180790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.