James Gill, DEEP SEA DIVING IDC

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

2825 Shoup Dr
San Diego, CA 92110-4866

Phone

(918) 605-1335

NPI assigned

Apr 9, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1295298172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 SHOUP DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 SHOUP DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104866",
            "telephone_number": "918-605-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JAMES",
        "credential": "DEEP SEA DIVING IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Connect",
            "affiliation": "N",
            "address_1": "2825 Shoup Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921104866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah A Gill-Branion, MSC.
• Alicia Anne Gill, PA-C
• Davinder Gill
• Jada Dia Gill
• Jamaal Paul Gill
• Julie L Gill, PA
• Sartaj Kaur Gill
• Sheenah Gill, BCBA
• Tajinder H Gill
• Todd Gill, PT

• Military Health Care Provider in San Diego, CA
• Providers in San Diego, CA by specialty
• Military Health Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.