Individual provider Active NPI

Nisha Gill, PA-C

  • Physician Assistant
  • Yuba City, CA
National Provider Identifier
1700452356
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59601 Issued in CA
Practice address
1531 Plumas CT Ste B
Yuba City, CA 95991-2966
Phone
(530) 751-4900
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 PA59601 CA Primary

Addresses

Primary practice location

1531 Plumas CT Ste B
Yuba City, CA 95991-2966

Mailing address

1531 Plumas CT Ste B
Yuba City, CA 95991-2966

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
I20230818002853 CA Practitioner - Physician Assistant 0648632885 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59601CAMDMarriage & Family Therapist
PA59601CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare CurrentSince Sep 1, 2023 Accepting new patients
Peach Tree Healthcare CurrentSince Sep 1, 2023 Accepting new patients

Locations

9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242

1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358

5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 741-3242

3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 413-9627

1275 Tharp Rd
Yuba City, CA 95993

Interoperability endpoints

  • Direct secure messaging: nisha.gill.p1@direct.peachtreehealth.nextgenshare.com

Organizations & group practices 3

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1700452356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 PLUMAS CT STE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 PLUMAS CT STE B",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912966",
            "telephone_number": "530-751-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "NISHA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.