Individual provider Active NPI

Japneet K Gill, FNP-C

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1396581005
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030707 Issued in CA
Practice address
1050 E Perrin Ave Ste 105
Fresno, CA 93720-5032
Phone
(559) 336-1090
NPI assigned
Jul 2, 2024
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030707 CA Primary

Addresses

Primary practice location

1050 E Perrin Ave Ste 105
Fresno, CA 93720-5032

Mailing address

4486 W Escalon Ave
Fresno, CA 93722-3262
Phone (559) 977-5911

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208001538 CA Practitioner - Nurse Practitioner 3678008190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7471 N Fresno St
Fresno, CA 93720-2457
Phone (559) 436-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95030707CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baz Allergy, Asthma & Sinus Center, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Baz Allergy, Asthma & Sinus Center CurrentSince Nov 17, 2025 Accepting new patients
Baz Allergy, Asthma & Sinus Center, Inc. Current Accepting new patients
California Surgical Medical Clinics Inc. PastSince Jul 7, 2024 Accepting new patients
California Surgical Medical Clinics Inc. PastSince Jul 7, 2024 Accepting new patients

Locations

7471 N Fresno St
Fresno, CA 93720
Phone (559) 436-4500

1560 W Lacey Blvd
Ste 103
Hanford, CA 93230
Phone (559) 582-8500

1415 Badger Flat Rd
Ste A
Los Banos, CA 93635
Phone (209) 710-8684

2311 W Cleveland Ave
Ste 101
Madera, CA 93637
Phone (559) 674-0075

1923 Coffee Rd
Ste 12C
Modesto, CA 95355
Phone (209) 409-8454

Organizations & group practices 5

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1396581005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4486 W ESCALON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223262",
            "telephone_number": "559-977-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E PERRIN AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205032",
            "telephone_number": "559-336-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JAPNEET",
        "middle_name": "K",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.