Individual provider Active NPI

Gurpreet K Shires, APRN-CNP

  • Family Nurse Practitioner
  • Ukiah, CA
National Provider Identifier
1225535685
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027166 Issued in CA
Practice address
275 Hospital Dr
Ukiah, CA 95482-4531
Phone
(707) 380-1075
Fax
(707) 462-7947
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 128191 OK
Family Nurse Practitioner 363LF0000X 95027166 CA Primary

Addresses

Primary practice location

275 Hospital Dr
Ukiah, CA 95482-4531

Mailing address

242 Hospital Dr Ste B
Ukiah, CA 95482-4556
Phone (707) 380-1075

Other names 1

  • Gurpreet K Malhi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181102000624 OK Practitioner - Nurse Practitioner 5294088530 Reassigns benefits to 4 organizations
I20240618001874 CA Practitioner - Nurse Practitioner 5294088530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Oklahoma Ambulatory Services LLCGroup PAC ID 9830447036, 43 clinicians
Advance Physicians GroupGroup PAC ID 0244122083, 23 clinicians

Practice addresses (Care Compare)

1380 W Covell Rd
132 Mercy Gohealth Urgent Care N Edmond
Edmond, OK 73003-3575
Phone (405) 279-9637

705 N Broadway St
Tecumseh, OK 74873-1413
Phone (405) 759-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jun 1, 2024 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Ahs Oklahoma Heart LLC CurrentSince Mar 1, 2021 Accepting new patients
Pacific Redwood Medical Group Inc Family Medicine CurrentSince Jan 9, 2025 Accepting new patients
Warren Clinic Inc CurrentSince Oct 15, 2018 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Nov 1, 2025 Accepting new patients
Saint Francis Outreach Services LLC Past Accepting new patients
Integris Cardiovascular Physicians LLC Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

1621 W Imola Ave
Napa, CA 94559
Phone (707) 251-4280

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

242 Hospital Dr
Ste B
Ukiah, CA 95482
Phone (707) 380-1075

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

2950 S Elm Pl
Ste 120
Broken Arrow, OK 74012
Phone (918) 451-5191

1801 E Kenosha St
Broken Arrow, OK 74012
Phone (918) 449-4150

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

1265 S Utica Ave
Ste 300
Tulsa, OK 74104
Phone (918) 855-2570

9228 S Mingo Rd
Ste 200
Tulsa, OK 74133
Phone (918) 574-9820

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Dept 1218
Tulsa, OK 74182

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

Interoperability endpoints

  • Direct secure messaging: gshires329920@ahs.direct-ci.com

Organizations & group practices 11

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1225535685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 HOSPITAL DR STE B",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824556",
            "telephone_number": "707-380-1075",
            "fax_number": "707-462-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824531",
            "telephone_number": "707-380-1075",
            "fax_number": "707-462-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRES",
        "first_name": "GURPREET",
        "middle_name": "K",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "128191",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GURPREET",
            "last_name": "MALHI",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.