Organization Active NPI

Manpreet K Gill MD PC

  • Primary Care Clinic/Center
  • Carmichael, CA
National Provider Identifier
1851996078
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MANPREET K GILL MD PC
Practice address
6620 Coyle Ave Ste 210
Carmichael, CA 95608-6337
Phone
(530) 888-9978
Fax
(530) 888-9979
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Dr. Manpreet K Gill, MDNPI 1215382197
Title
Chief Medical Officer
Phone
(530) 888-9978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6620 Coyle Ave Ste 210
Carmichael, CA 95608-6337

Mailing address

6620 Coyle Ave Ste 210
Carmichael, CA 95608-6337
Phone (530) 888-9978

Other names 1

  • Placer Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210114000416 CA Part B Supplier - Clinic/Group Practice 4688087554 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, CA
O20211210001910 CA Part B Supplier - Clinic/Group Practice 6103216825 Receives reassigned benefits from 1 practitioner
Practice locations: Carmichael, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1851996078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 210",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086337",
            "telephone_number": "530-888-9978",
            "fax_number": "530-888-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 210",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086337",
            "telephone_number": "530-888-9978",
            "fax_number": "530-888-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANPREET K GILL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "530-888-9978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Placer Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.