P. Gill Obstetrics & Gynecology Medical Group, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC.

Practice address

999 S Fairmont Ave
Ste 230
Lodi, CA 95240-5100

Phone

(209) 465-5550

Fax

(209) 334-0127

NPI assigned

Aug 18, 2005

Last updated

Sep 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Param K Gill, MD

Title

Ceo-Corporation

Phone

(209) 465-5550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Estela Escalona, M.D.

  • Obstetrics & Gynecology Physician
  • Lodi, CA
  • NPI 1881869741
  Medicare reassignment Care Compare group NPD
• Divina Javier Fernandez, NURSE PRACTITIONER

  • Nurse Practitioner
  • Stockton, CA
  • NPI 1750653929
  Medicare reassignment Care Compare group NPD
• Parampal K Gill, M.D.

  • Obstetrics & Gynecology Physician
  • Lodi, CA
  • NPI 1417957887
  Medicare reassignment Care Compare group NPD
• James Paul Ching Maganito, DO, MPH, MHA

  • Obstetrics & Gynecology Physician
  • Stockton, CA
  • NPI 1063692440
  Medicare reassignment Care Compare group NPD
• Michelle Nguyen, PA-C

  • Physician Assistant
  • Lodi, CA
  • NPI 1821868324
  Medicare reassignment Care Compare group NPD
• Vincent P Pennisi, M.D.

  • Obstetrics & Gynecology Physician
  • Stockton, CA
  • NPI 1487653341
  Medicare reassignment Care Compare group NPD
• Armita Bakhtmand, PA-C

  • Physician Assistant
  • San Leandro, CA
  • NPI 1235916396
  Medicare reassignment Care Compare group
• Crystal Adriana Chavez, PA-C

  • Physician Assistant
  • Stockton, CA
  • NPI 1912539271
  Medicare reassignment Care Compare group
• Magegan K. Sakhizada, PA-C

  • Physician Assistant
  • Stockton, CA
  • NPI 1992370738
  Medicare reassignment Care Compare group
• Preeti J. Srivatsa, MD

  • Obstetrics & Gynecology Physician
  • Manteca, CA
  • NPI 1659326775
  Medicare reassignment Care Compare group
• Sabah Ayubyar

  • Physician Assistant
  • Stockton, CA
  • NPI 1053024281
  Medicare reassignment NPD
• Radhika Bangalore Hombalegowda, MD

  • Obstetrics & Gynecology Physician
  • Carmichael, CA
  • NPI 1508380551
  Medicare reassignment NPD

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1386636165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952411090",
            "telephone_number": "209-465-5550",
            "fax_number": "209-334-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 S FAIRMONT AVE",
            "address_2": "STE 230",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405100",
            "telephone_number": "209-465-5550",
            "fax_number": "209-334-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. GILL OBSTETRICS & GYNECOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "PARAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO-CORPORATION",
        "authorized_official_telephone_number": "209-465-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Lodi, CA
• Providers in Lodi, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.