Gursharan S Nahl, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C42515 Issued in CA

Practice address

10200 Trinity Pkwy
Suite 102
Stockton, CA 95219-7286

Phone

(209) 948-0808

Fax

(209) 948-0807

NPI assigned

May 2, 2006

Last updated

Apr 5, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lodi Memorial Hospital Association, Inc

  dba Lodi Memorial Community Clinic - Iris

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1861649352
  Medicare reassignment NPD
• Lodi Memorial Hospital Association Inc

  dba Lodi Memorial Primary Care Clinic

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1306855523
  NPD
• Lodi Memorial Hospital Association Inc

  dba Lodi Memorial Hospital

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  NPD
• Lodi Memorial Hospital Association, Inc

  dba Lodi Memorial Community Clinic - Trinity

  • Primary Care Clinic/Center
  • Stockton, CA
  • NPI 1982860995
  NPD
• Sutter Gould Medical Foundation

  • Family Medicine Physician
  • Turlock, CA
  • NPI 1023065133

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1437117322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 241011",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952419511",
            "telephone_number": "209-339-7435",
            "fax_number": "209-339-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 TRINITY PKWY",
            "address_2": "SUITE 102",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197286",
            "telephone_number": "209-948-0808",
            "fax_number": "209-948-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHL",
        "first_name": "GURSHARAN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C42515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C425150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bidisha Nag
• Soyoka Nagai
• Alvin Nagi, DO
• Tanpreet Kaur Nagra, OD
• Aniko Nagy
• Satpreet Kaur Naidu, FNP
• Mrinmayee Vasudeo Naik, M.D.
• Justin Nailes
• Neha Nainani, MD, MPH
• Kayla Najar

• Internal Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.