Active NPI
Gagandeepsingh&Timonthyjohnston
- Family Medicine Physician
- Merced, CA
National Provider Identifier
1871155259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GAGANDEEPSINGH&TIMONTHYJOHNSTON
- Practice address
- 650 W Olive Ave
Merced, CA 95348-2423 - Phone
- (718) 964-3919
- NPI assigned
- Jul 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Harsimrat Kaur Bains
- Title
- Office Manager,RN
- Phone
- (718) 964-3919
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | |||
| Sports Medicine (Family Medicine) Physician | 207QS0010X |
Addresses
Primary practice location
650 W Olive Ave
Merced, CA 95348-2423
Mailing address
836 Round Hill Dr
Merced, CA 95348-8422
Phone (718) 964-3919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093074429 | Medicaid | NY | |
| 1528097847 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | outlook |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Santa Clara, CA
- NPI 1093074429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562284800000",
"number": "1871155259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 ROUND HILL DR",
"city": "MERCED",
"state": "CA",
"postal_code": "953488422",
"telephone_number": "718-964-3919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W OLIVE AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953482423",
"telephone_number": "718-964-3919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAGANDEEPSINGH&TIMONTHYJOHNSTON",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-05",
"last_updated": "2019-07-05",
"status": "A",
"authorized_official_last_name": "BAINS",
"authorized_official_first_name": "HARSIMRAT",
"authorized_official_middle_name": "KAUR",
"authorized_official_title_or_position": "OFFICE MANAGER,RN",
"authorized_official_telephone_number": "718-964-3919",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093074429",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528097847",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "outlook",
"affiliation": "N",
"address_1": "650 W Olive Ave",
"city": "Merced",
"state": "CA",
"country_code": "US",
"postal_code": "953482423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.