Active NPI
Carol L Gill, MD
- Pediatrics Physician
- Livermore, CA
National Provider Identifier
1922067578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G38820
- Practice address
- 1134 Murrieta Blvd
Livermore, CA 94550-4190 - Phone
- (925) 449-7795
- Fax
- (925) 449-7953
- NPI assigned
- Mar 22, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G38820 | CA | Primary |
Addresses
Primary practice location
1134 Murrieta Blvd
Livermore, CA 94550-4190
Mailing address
11875 Dublin Blvd
Suite C140
Dublin, CA 94568-2843
Phone (925) 558-7250
Other names 1
- Carol Gill Davin
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Past | Accepting new patients |
| Bayside Medical Group, Inc | Pediatrics | 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.
-
- Pediatrics Physician
- Pleasanton, CA
- NPI 1689633240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1922067578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11875 DUBLIN BLVD",
"address_2": "SUITE C140",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682843",
"telephone_number": "925-558-7250",
"fax_number": "925-587-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 MURRIETA BLVD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945504190",
"telephone_number": "925-449-7795",
"fax_number": "925-449-7953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "CAROL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G38820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "DAVIN",
"middle_name": "GILL",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.