NPIMap

Individual provider Active NPI

Gurleen Kaur Sohi

  • Physician Assistant
  • Fairfield, CA
National Provider Identifier
1639744469
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
63057 Issued in CA
Practice address
1101 B Gale Wilson Blvd Ste 101C
Fairfield, CA 94533-3771
Phone
(707) 419-8990
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 63057 CA Primary

Addresses

Primary practice location

1101 B Gale Wilson Blvd Ste 101C
Fairfield, CA 94533-3771

Mailing address

1310 Club Dr
Vallejo, CA 94592-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231030002442 CA Practitioner - Physician Assistant 8426404245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ole HealthGroup PAC ID 7315934767, 9 clinicians

Practice addresses (Care Compare)

1101 B Gale Wilson Blvd
Suite 101C
Fairfield, CA 94533-3771
Phone (707) 419-8990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health CurrentSince Dec 4, 2023 Accepting new patients
Ole Health CurrentSince Dec 4, 2023 Accepting new patients
Ole Health Past Accepting new patients

Locations

1101 B Gale Wilson Blvd
Ste 101C
Fairfield, CA 94533
Phone (707) 419-8990

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

Interoperability endpoints

  • Direct secure messaging: gsohi709991@direct.ochin.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1639744469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CLUB DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 B GALE WILSON BLVD STE 101C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333771",
            "telephone_number": "707-419-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHI",
        "first_name": "GURLEEN",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.