Active NPI
Kuldeep Kaur Gill
- Behavior Technician
- Concord, CA
National Provider Identifier
1871050328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1200 Concord Ave Ste 185
Concord, CA 94520-5006 - Phone
- (650) 648-4170
- NPI assigned
- Feb 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Mailing address
1200 Concord Ave Ste 185
Concord, CA 94520-5006
Phone (650) 648-4170
Other practice location 1
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone (877) 418-2978
Other practice location 2
5501 Antique Rose Way
Riverbank, CA 95367-9505
Phone (209) 521-4791 ext. 312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Autism Project, Inc. | Past | Accepting new patients | |
| Kadiant, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Riverbank, CA
- NPI 1700183803
-
- Behavior Analyst
- Oakland, CA
- NPI 1811547052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1871050328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 185",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205006",
"telephone_number": "650-648-4170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CONCORD AVE STE 185",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205006",
"telephone_number": "650-648-4170"
}
],
"practiceLocations": [
{
"address_1": "1811 Grand Canal Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952078107",
"country_code": "US",
"telephone_number": "877-418-2978",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Antique Rose Way",
"address_purpose": "LOCATION",
"city": "Riverbank",
"state": "CA",
"postal_code": "953679505",
"country_code": "US",
"telephone_number": "209-521-4791 x312",
"fax_number": "209-521-4794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILL",
"first_name": "KULDEEP",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-20",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.