Individual provider Active NPI

Gurminderajit Sufi, D.D.S.

  • Dentist
  • Colusa, CA
National Provider Identifier
1851315741
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53035 Issued in CA
Practice address
3710 State Highway 45
Colusa, CA 95932-4021
Phone
(530) 458-5501
Fax
(530) 458-8660
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 53035 CA Primary

Addresses

Primary practice location

3710 State Highway 45
Colusa, CA 95932-4021

Mailing address

2857 Maybrook Dr
Sacramento, CA 95835-1500
Phone (916) 928-1608

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012001334 CA Order and Referring Only - DentistPractitioner - Dentist 8123337243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Colusa Indian Community Council Past Accepting new patients

Organizations & group practices 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353110400000",
    "number": "1851315741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2857 MAYBROOK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351500",
            "telephone_number": "916-928-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 STATE HIGHWAY 45",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959324021",
            "telephone_number": "530-458-5501",
            "fax_number": "530-458-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFI",
        "first_name": "GURMINDERAJIT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "53035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colusa, CA

Sources for this page

Verify at the official NPI Registry.