Individual provider Active NPI

Sukhjit Gill, NP, CNM

  • Women's Health Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1336966159
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95032067 Issued in CA
Practice address
1374 E Alluvial Ave
Fresno, CA 93720-2608
Phone
(559) 981-2600
Fax
(559) 981-2610
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 236488 CA
Women's Health Nurse Practitioner 363LW0102X 95032067 CA Primary

Addresses

Primary practice location

1374 E Alluvial Ave
Fresno, CA 93720-2608

Mailing address

1865 E Alluvial Ave Ste 102
Fresno, CA 93720-3855
Phone (559) 981-2600

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128001426 CA Practitioner - Certified Nurse Midwife (CNM) 5698204287 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236488CAMDMidwife
95032067CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Jan 1, 2025 Accepting new patients
Community Foundation Medical Group Current Accepting new patients

Locations

1374 E Alluvial Ave
Fresno, CA 93720
Phone (559) 450-7272

1865 E Alluvial Ave
Ste 102
Fresno, CA 93720
Phone (559) 435-6492

202 W Willow Ave
Ste 305
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1336966159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 E ALLUVIAL AVE STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203855",
            "telephone_number": "559-981-2600",
            "fax_number": "559-981-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1374 E ALLUVIAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202608",
            "telephone_number": "559-981-2600",
            "fax_number": "559-981-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "SUKHJIT",
        "credential": "NP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "236488",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95032067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.