Harbhajan Singh Shergill, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A31635 Issued in CA

Practice address

2701 E Hammer LN
Ste 103
Stockton, CA 95210-4245

Phone

(209) 320-2650

Fax

(209) 320-2653

NPI assigned

Aug 4, 2006

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: harbhajan.shergill.1@17520.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medcore HP

  • Specialist
  • Stockton, CA
  • NPI 1063943223
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1639187552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5345 N EL DORADO",
            "address_2": "#3",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075848",
            "telephone_number": "209-478-4041",
            "fax_number": "209-478-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 E HAMMER LN",
            "address_2": "STE 103",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104245",
            "telephone_number": "209-320-2650",
            "fax_number": "209-320-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERGILL",
        "first_name": "HARBHAJAN",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A31635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A216350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perry Shelton
• Fay Shen
• Alissa Sabatino Shepard, DO
• Mridu Shepard, APRN
• Ashley Marie Sherfey, DO
• Danu Sherpa
• Vishwa Sheth, M.D.
• Michael Shi, MD
• Sue Yi Shia, OTR
• Annie Shih, DDS

• General Practice Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.