Individual provider Active NPI

Jasjit Gill, FNP

  • Nurse Practitioner
  • Ceres, CA
National Provider Identifier
1679128094
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95012124 Issued in CA
Practice address
3109 E Whitmore Ave
Ceres, CA 95307-2906
Phone
(866) 682-4842
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95038766 CA
Nurse Practitioner 363L00000X 95012124 CA Primary

Addresses

Primary practice location

3109 E Whitmore Ave
Ceres, CA 95307-2906

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (866) 682-4842

Other names 1

  • Ms. Jasjit Gill Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226001306 CA Practitioner - Nurse Practitioner 3375977499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95038766CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center CurrentSince Oct 21, 2019 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers CurrentSince Oct 21, 2019 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients

Locations

3109 E Whitmore Ave
Ceres, CA 95307
Phone (209) 541-2929

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 826-1045

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-8441

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 863-3900

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1679128094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "866-682-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 E WHITMORE AVE",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072906",
            "telephone_number": "866-682-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "JASJIT",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95038766",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95012124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASJIT",
            "last_name": "GILL",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ceres, CA

Sources for this page

Verify at the official NPI Registry.