Organization Active NPI

MD Partners Ipa

  • Health Maintenance Organization
  • Grass Valley, CA
National Provider Identifier
1174360606
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MD PARTNERS IPA
Practice address
280 Sierra College Dr
Ste #205
Grass Valley, CA 95945-5726
Phone
(657) 217-4500
Fax
(657) 206-3375
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Mr. Kuldip S Gill, M.D.
Title
Presidentceo
Phone
(530) 263-5349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

280 Sierra College Dr
Ste #205
Grass Valley, CA 95945-5726

Mailing address

280 Sierra College Dr
Ste #205
Grass Valley, CA 95945-5726
Phone (657) 217-4500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1174360606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SIERRA COLLEGE DR",
            "address_2": "STE #205",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455726",
            "telephone_number": "657-217-4500",
            "fax_number": "657-206-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SIERRA COLLEGE DR",
            "address_2": "STE #205",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455726",
            "telephone_number": "657-217-4500",
            "fax_number": "657-206-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PARTNERS IPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KULDIP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENTCEO",
        "authorized_official_telephone_number": "530-263-5349",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.