Individual provider Active NPI

Jesspreet Kaur Gowan, M.D.

  • Student in an Organized Health Care Education/Training Program
  • San Jose, CA
National Provider Identifier
1700145224
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
6475 Camden Ave
Suite 107
San Jose, CA 95120-2846
Phone
(408) 268-4900
Fax
(408) 268-2431
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

6475 Camden Ave
Suite 107
San Jose, CA 95120-2846

Mailing address

6475 Camden Ave
Suite 107
San Jose, CA 95120-2846
Phone (408) 268-4900

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
I20210708000901 CA Practitioner - Pediatric Medicine 5991107336 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile CurrentSince Jun 30, 2021 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Bruce M. Gach, M.D., Inc. Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

5575 W Las Positas Blvd
Ste 340
Pleasanton, CA 94588
Phone (925) 847-9777

5720 Stoneridge Mall Rd
Ste 240
Pleasanton, CA 94588
Phone (925) 463-1234

6475 Camden Ave
Ste 107
San Jose, CA 95120
Phone (408) 268-4900

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1700145224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 CAMDEN AVE",
            "address_2": "SUITE 107",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202846",
            "telephone_number": "408-268-4900",
            "fax_number": "408-268-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 CAMDEN AVE",
            "address_2": "SUITE 107",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202846",
            "telephone_number": "408-268-4900",
            "fax_number": "408-268-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWAN",
        "first_name": "JESSPREET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.