Individual provider Active NPI

Lal Kaye Yilmaz-Gonzalez, M.D.

  • Surgery Physician
  • Mill Valley, CA
National Provider Identifier
1215065891
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A71198 Issued in CA
Practice address
41 De Silva Island Dr
Mill Valley, CA 94941-3024
Phone
(415) 476-1236
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A71198 CA Primary

Addresses

Primary practice location

41 De Silva Island Dr
Mill Valley, CA 94941-3024

Mailing address

1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-7930

Other names 1

  • Dr. Lal Kaye Yilmaz Former name

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
I20040702001150 CA Practitioner - General Surgery 7012994346 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71198CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Nov 10, 2010 Accepting new patients
Permanente Medical Group Inc Surgery Current Accepting new patients
Permanente Medical Group Inc Surgery CurrentSince Nov 10, 2010 Accepting new patients
SNF Specialists Medical Corporation CurrentSince Jan 1, 2019 Accepting new patients
Gurpreet S. Dhugga Medical Corporation CurrentSince Feb 24, 2020 Accepting new patients

Locations

5030 Business Center Dr
Ste 130
Fairfield, CA 94534
Phone (707) 290-5700

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

1425 S Main St
Walnut Creek, CA 94596
Phone (925) 295-4130

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1215065891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S MAIN ST",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965318",
            "telephone_number": "925-295-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DE SILVA ISLAND DR",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413024",
            "telephone_number": "415-476-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YILMAZ-GONZALEZ",
        "first_name": "LAL",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A71198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAL",
            "last_name": "YILMAZ",
            "middle_name": "KAYE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.