Active NPI
Gagandeep Singh Padda
- Licensed Vocational Nurse
- Fresno, CA
National Provider Identifier
1609611896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 732218
- Practice address
- 4066 W Fountain Way
Fresno, CA 93722-4689 - Phone
- (559) 394-5186
- NPI assigned
- Jun 28, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 732218 | CA | Primary |
Addresses
Primary practice location
4066 W Fountain Way
Fresno, CA 93722-4689
Mailing address
4066 W Fountain Way
Fresno, CA 93722-4689
Phone (559) 394-5186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 732218 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1609611896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4066 W FOUNTAIN WAY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937224689",
"telephone_number": "559-394-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4066 W FOUNTAIN WAY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937224689",
"telephone_number": "559-394-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADDA",
"first_name": "GAGANDEEP",
"middle_name": "SINGH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "732218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.