Kishwar R. Gill, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A52697 Issued in CA

Practice address

468 N Vermont Ave
Dinuba, CA 93618-1631

Phone

(559) 591-6200

Fax

(559) 591-2724

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

• Kishwar R. Soofi Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 18, 2012.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1164611570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 W ELOWIN DR",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919222",
            "telephone_number": "559-622-9601",
            "fax_number": "559-627-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 N VERMONT AVE",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936181631",
            "telephone_number": "559-591-6200",
            "fax_number": "559-591-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "KISHWAR",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00A526972",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISHWAR",
            "last_name": "SOOFI",
            "middle_name": "R.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Free Air Life Inc
• Leticia Garcia Reyes, PA-C
• Daisy Garcia
• Emmanuel Garcia, LVN
• Janet Garcia, LVN
• Rubina Gill, PH.D
• Lance Goebel, MD , PHARMD
• Kaylah Breann Gonzales, PA-C
• Natasha Monique Gonzalez
• William Alfonso Granillo, PHYSICIAN ASSISTAN T

• All providers in Dinuba, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.