Active NPI
Gurpreet Singh Bhullar, OTR
- Specialist
- Oakland, CA
National Provider Identifier
1164638805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6925
- Practice address
- 1850 Alice St
Oakland, CA 94612-4175 - Phone
- (510) 835-5511
- Fax
- (510) 893-3212
- NPI assigned
- May 16, 2007
- Last updated
- Aug 31, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 6925 | CA | Primary |
Addresses
Primary practice location
1850 Alice St
Oakland, CA 94612-4175
Mailing address
4922 Huffman Ter
Fremont, CA 94555-2646
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impaq Rehabilitation Specialists, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Practitioner
- San Francisco, CA
- NPI 1861557522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1164638805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4922 HUFFMAN TER",
"city": "FREMONT",
"state": "CA",
"postal_code": "945552646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 ALICE ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946124175",
"telephone_number": "510-835-5511",
"fax_number": "510-893-3212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHULLAR",
"first_name": "GURPREET",
"middle_name": "SINGH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "6925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.