Active NPI
Gavneet Uppal, FNP-C
- Nurse Practitioner
- San Diego, CA
National Provider Identifier
1154047181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95030427
- Practice address
- 4577 La Jolla Village Dr Ste 1212
San Diego, CA 92122-1494 - Phone
- (619) 894-9582
- NPI assigned
- Oct 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28244838A | IN | |
| Registered Nurse | 163W00000X | 95374146 | CA | |
| Family Nurse Practitioner | 363LF0000X | 71013180A | IN | |
| Nurse Practitioner | 363L00000X | 95030427 | CA | Primary |
Addresses
Primary practice location
4577 La Jolla Village Dr Ste 1212
San Diego, CA 92122-1494
Mailing address
1213 American Ave
Plainfield, IN 46168-3268
Phone (317) 410-1131
Other practice location 1
12760 Meeting House Rd
Carmel, IN 46032-7292
Phone (317) 721-7110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95374146 | CA | MD | Registered Nurse |
| 28244838A | IN | MD | Registered Nurse |
| 95030427 | CA | MD | Nurse Practitioner |
| 71013180A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robey Plastic Surgery | Current | Accepting new patients |
Locations
12760 Meeting House Rd
Carmel, IN 46032
Phone (317) 721-7110
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.
-
- Plastic Surgery Physician
- Carmel, IN
- NPI 1679900666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1154047181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 AMERICAN AVE",
"city": "PLAINFIELD",
"state": "IN",
"postal_code": "461683268",
"telephone_number": "317-410-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4577 LA JOLLA VILLAGE DR STE 1212",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921221494",
"telephone_number": "619-894-9582"
}
],
"practiceLocations": [
{
"address_1": "12760 Meeting House Rd",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460327292",
"country_code": "US",
"telephone_number": "317-721-7110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPPAL",
"first_name": "GAVNEET",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-12",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28244838A",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95374146",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71013180A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95030427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.