Individual provider Active NPI

Balkaran Gill, PA-C

  • Physician Assistant
  • Stockton, CA
National Provider Identifier
1730981390
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2509 W March LN Ste 250
Stockton, CA 95207-8222
Phone
(209) 290-1700
NPI assigned
Mar 25, 2025
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 Primary

Addresses

Primary practice location

2509 W March LN Ste 250
Stockton, CA 95207-8222

Mailing address

2509 W March LN Ste 250
Stockton, CA 95207-8222
Phone (630) 346-0607

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
I20260119000740 CA Practitioner - Physician Assistant 8426535691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

203 Independence Dr
American Canyon, CA 94503-1276

5900 Coyle Ave
Suite a
Carmichael, CA 95608-0400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Inclusive Medical Services Urgent Care, Inc. CurrentSince Nov 8, 2025 Accepting new patients
Mind Body Medicine Inc CurrentSince Mar 23, 2026 Accepting new patients

Locations

5900 Coyle Ave
Ste B
Carmichael, CA 95608
Phone (916) 349-7600

391 Howe Ave
Ste 150
Sacramento, CA 95825
Phone (916) 285-5300

1811 Grand Canal Blvd
Ste 3
Stockton, CA 95207
Phone (209) 800-1718

2509 W March Ln
Ste 250
Stockton, CA 95207
Phone (209) 222-6061

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1730981390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 W MARCH LN STE 250",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078222",
            "telephone_number": "630-346-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 W MARCH LN STE 250",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078222",
            "telephone_number": "209-290-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILL",
        "first_name": "BALKARAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-25",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.