Gurmit Singh Deol, N.P.
Individual provider Active NPI Family Nurse Practitioner · Clovis, CA
NPI 1376854943 · NPPES record last updated Mar 24, 2023
Key facts
- NPI
- 1376854943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 19871 (CA)
- Practice address
- 255 W Bullard Ave Ste 109
Clovis, CA 93612-0861 - Phone
- (559) 325-5715
- Fax
- (559) 325-5735
- NPI assigned
- Jun 28, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Central Valley Indian Health Inc
Practice addresses (Care Compare)
255 W Bullard Ave
Suite 109
Clovis, CA 93612-0861
Phone (559) 325-5715
Hospital & facility affiliations
- Clovis Community Medical Center
- San Joaquin Valley Rehabilitation Hosp
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110106000126 | CA | Practitioner - Nurse Practitioner | 9436348414 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719618 | CA | MD | Registered Nurse |
| 19871 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Indian Health, Inc | Current |
Accepting new patients | |
| Central Valley Indian Health Inc | Current | Accepting new patients | |
| Central Valley Indian Health, Inc. | Current |
Accepting new patients | |
| Central Valley Indian Health Inc | Past | Accepting new patients |
Locations
255 W Bullard Ave
Ste 109
Clovis, CA 93612
Phone (559) 297-7563
2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608
29369 Auberry Rd
Ste 102
Prather, CA 93651
Phone (559) 855-5390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 719618 | CA | |
| Family Nurse Practitioner | 363LF0000X | 19871 | CA | Yes |
Addresses
Primary practice location
255 W Bullard Ave Ste 109
Clovis, CA 93612-0861
Mailing address
255 W Bullard Ave Ste 109
Clovis, CA 93612-0861
Phone (559) 325-5715
Other providers in Clovis, CA
- Jacquelyn Dempsey
- Scott William Dempsey
- Deniz Baysal MD Inc
- Dental Hygiene Practice of Paula Grieco Rdhap Inc
- Dentists of East Clovis, Inc.
- Sabrina Marie Dequattro
- Alyssa Der Mugrdechian
- Guerline Lily Desir
- Julie Marie Deyoung
- Mandip Dhah
All providers in Clovis, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.