Individual provider Active NPI

Gurpreet S Ahluwalia, M.D.

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1164452272
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
040295 Issued in GA
Practice address
1250 Morena Blvd
San Diego, CA 92110-3815
Phone
(619) 692-8750
NPI assigned
Jul 4, 2006
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 040295 GA
Psychiatry Physician 2084P0800X MD27678 AL
Psychiatry Physician 2084P0800X 040295 GA Primary

Addresses

Primary practice location

1250 Morena Blvd
San Diego, CA 92110-3815

Mailing address

1250 Morena Blvd
San Diego, CA 92110-3815
Phone (619) 692-8750

Other practice location 1

3745 Cherokee St NW
Kennesaw, GA 30144-6733
Phone (770) 499-0140

Other practice location 2

1414 Dug Gap Rd
Dalton, GA 30720-5007
Phone (706) 279-0405

Other practice location 3

5300 Highway 49 North
Mariposa, CA 95338
Phone (209) 966-3689

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
I20230419001562 CA Practitioner - Psychiatry 0941220941 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San DiegoGroup PAC ID 8123014057, 17 clinicians

Practice addresses (Care Compare)

1250 Morena Blvd
San Diego, CA 92110-3815
Phone (619) 692-8750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27678ALMDPsychiatry Physician
040295GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Stanislaus CurrentSince Feb 1, 2023 Accepting new patients
County of Stanislaus Current Accepting new patients
County of San Diego Current Accepting new patients
County of San Diego CurrentSince Jan 1, 2023 Accepting new patients
County of Stanislaus CurrentSince Feb 1, 2023 Accepting new patients
County of San Diego CurrentSince Jan 1, 2023 Accepting new patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Feb 1, 2023 Accepting new patients
County of Stanislaus CurrentSince Feb 1, 2023 Accepting new patients
Roots Wellness Center, LLC Past Accepting new patients
Highland Health Systems Past Accepting new patients
Highland Health Systems Past Accepting new patients
Family and Children First LLC PastSince Dec 21, 2021 Accepting new patients
Center for Attention & Psychiatry, LLC Psychiatry Past Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

500 N 9th St
Ste A
Modesto, CA 95350
Phone (209) 525-5300

500 N 9th St
Ste B
Modesto, CA 95350
Phone (209) 341-1824

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

2101 Geer Rd
Ste 120
Turlock, CA 95382
Phone (209) 558-4598

Interoperability endpoints

  • Direct secure messaging: gahluwalia656226@hisp.ehr.sutterhealth.org
  • FHIR API: https://api.qualifacts.org/api/fhir/highlandhealthsystems/r4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1164452272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MORENA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103815",
            "telephone_number": "619-692-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MORENA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103815",
            "telephone_number": "619-692-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3745 Cherokee St NW",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301446733",
            "country_code": "US",
            "telephone_number": "770-499-0140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 Dug Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307205007",
            "country_code": "US",
            "telephone_number": "706-279-0405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 Highway 49 North",
            "address_purpose": "LOCATION",
            "city": "Mariposa",
            "state": "CA",
            "postal_code": "95338",
            "country_code": "US",
            "telephone_number": "209-966-3689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "GURPREET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "040295",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD27678",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "040295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.