Active NPI
Yardana Gill, FNP
- Nurse Practitioner
- Travis Afb, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95003716
- Practice address
- 101 Bodin Cir BLDG 777
Travis Afb, CA 94535-1809 - Phone
- (707) 423-2300
- Fax
- (707) 423-3357
- NPI assigned
- Feb 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95003716 | CA | Primary |
Addresses
Primary practice location
101 Bodin Cir BLDG 777
Travis Afb, CA 94535-1809
Mailing address
101 Bodin Cir BLDG 777
Travis Afb, CA 94535-1809
Phone (707) 423-2300
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northbay Healthcare Group | Current | Accepting new patients | |
| Northbay Healthcare Group | Current | Accepting new patients |
Locations
1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600
1860 Pennsylvania Ave
Ste 110
Fairfield, CA 94533
Phone (707) 254-9693
1860 Pennsylvania Ave
Ste 120
Fairfield, CA 94533
Phone (707) 426-4696
101 Bodin Cir
Bldg 777
Travis AFB, CA 94535
Phone (707) 423-2388
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Fairfield, CA
- NPI 1821147786
-
- Multi-Specialty Clinic/Center
- Vacaville, CA
- NPI 1760534713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679961600000",
"number": "1154789154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 BODIN CIR BLDG 777",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-2300",
"fax_number": "707-423-3357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BODIN CIR BLDG 777",
"city": "TRAVIS AFB",
"state": "CA",
"postal_code": "945351809",
"telephone_number": "707-423-2300",
"fax_number": "707-423-3357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "YARDANA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2023-03-28",
"certification_date": "2023-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95003716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Travis Afb, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.