Individual provider Active NPI

Tirath Singh Gill, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1639260292
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C51319 Issued in CA
Practice address
1470 W Herndon Ave Ste 300
Fresno, CA 93711-0552
Phone
(559) 256-2000
Fax
(559) 256-3000
NPI assigned
Sep 27, 2006
Last updated
Sep 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X C51319 CA
Psychiatry Physician 2084P0800X C51319 CA Primary

Addresses

Primary practice location

1470 W Herndon Ave Ste 300
Fresno, CA 93711-0552

Mailing address

1470 W Herndon Ave Ste 300
Fresno, CA 93711-0552
Phone (559) 256-2000

Other identifiers 1

IdentifierTypeStateIssuer
00C513190MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000110 CA Practitioner - Psychiatry 6204723844 Reassigns benefits to 2 organizations
Practice locations: Fresno, CA; Clovis, CA; Selma, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WK Medical GroupGroup PAC ID 6103116348, 19 clinicians
LGTC GroupGroup PAC ID 0749795102, 22 clinicians

Practice addresses (Care Compare)

2542 S Bascom Ave
Suite 100
Campbell, CA 95008-5541
Phone (800) 913-2615

4850 Union Ave
San Jose, CA 95124-5156
Phone (800) 913-2615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
WK Medical Group Psychiatry CurrentSince Sep 16, 2022 Accepting new patients
LGTC Group Psychiatry CurrentSince May 20, 2025 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients
California Psychological Institute PastSince Oct 2, 2022 Accepting new patients

Locations

1575 Old Bayshore Hwy
Ste 201
Burlingame, CA 94010
Phone (408) 542-0399

2542 S Bascom Ave
Ste 100
Campbell, CA 95008
Phone (408) 559-3403

2235 Douglas Blvd
Ste 500
Roseville, CA 95661
Phone (916) 622-2620

508 Gibson Dr
Ste 140
Roseville, CA 95678
Phone (916) 694-0555

4850 Union Ave
San Jose, CA 95124
Phone (408) 559-5600

1298 Kifer Rd
Ste 515
Sunnyvale, CA 94086
Phone (408) 559-3403

Organizations & group practices 4

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1639260292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 W HERNDON AVE STE 300",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110552",
            "telephone_number": "559-256-2000",
            "fax_number": "559-256-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 W HERNDON AVE STE 300",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110552",
            "telephone_number": "559-256-2000",
            "fax_number": "559-256-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "TIRATH",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "C51319",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C51319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C513190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.