Active NPI
Nicholas Gill, DO
- Family Medicine Physician
- Fresno, CA
National Provider Identifier
1649974155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A23289
- Practice address
- 7005 N Milburn Ave Ste 101
Fresno, CA 93722-2161 - Phone
- (559) 603-7400
- Fax
- (559) 603-7649
- NPI assigned
- Mar 28, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A23289 | CA | Primary |
Addresses
Primary practice location
7005 N Milburn Ave Ste 101
Fresno, CA 93722-2161
Mailing address
7005 N Milburn Ave Ste 101
Fresno, CA 93722-2161
Phone (559) 603-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1649974155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 N MILBURN AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937222161",
"telephone_number": "559-603-7400",
"fax_number": "559-603-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 N MILBURN AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937222161",
"telephone_number": "559-603-7400",
"fax_number": "559-603-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-28",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A23289",
"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 Aug 18, 2026; 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.