Active NPI
Kuldip Gill M D P C
- Internal Medicine Physician
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A061538
- Legal business name
- KULDIP GILL M D P C
- Practice address
- 280 Sierra College Dr.
Suite 205
Grass Valley, CA 95945 - Phone
- (530) 274-8452
- Fax
- (530) 477-5182
- NPI assigned
- Oct 9, 2007
- 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
- Michelle Cammon
- Title
- Billing Manager
- Phone
- (530) 273-8452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A061538 | CA | Primary |
Addresses
Primary practice location
280 Sierra College Dr.
Suite 205
Grass Valley, CA 95945
Mailing address
280 Sierra College Dr.
Suite 205
Grass Valley, CA 95945
Phone (530) 274-8452
Other names 1
- Kuldip Gill MD PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0943651 | Kuldip S Gill MD | Certificate of waiver | Nov 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
5959 Greenback Ln
Ste 210
Citrus Hts, CA 95621
Phone (916) 481-6216
280 Sierra College Dr
Ste 210
Grass Valley, CA 95945
Phone (530) 273-8452
280 Sierra College Dr
Ste 2
Grass Valley, CA 95945
108 Catherine Ln
Ste A
Grass Valley, CA 95945
Phone (530) 273-8452
3262 Penryn Rd
Ste 100
Loomis, CA 95650
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Lodi, CA
- NPI 1639175581
-
- Geriatric Medicine (Internal Medicine) Physician
- Grass Valley, CA
- NPI 1295882769
-
- Internal Medicine Physician
- Grass Valley, CA
- NPI 1104805902
-
- Family Nurse Practitioner
- Santa Rosa, CA
- NPI 1518370519
-
- Adult Health Nurse Practitioner
- Grass Valley, CA
- NPI 1386311330
-
- Internal Medicine Physician
- Grass Valley, CA
- NPI 1376807990
-
- General Practice Physician
- Penn Valley, CA
- NPI 1174558027
-
- Family Nurse Practitioner
- Auburn, CA
- NPI 1063035046
-
- Physical Medicine & Rehabilitation Physician
- Grass Valley, CA
- NPI 1730684705
-
- Family Medicine Physician
- Grass Valley, CA
- NPI 1275554867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689724800000",
"number": "1932397601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 SIERRA COLLEGE DR.",
"address_2": "SUITE 205",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-274-8452",
"fax_number": "530-477-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SIERRA COLLEGE DR.",
"address_2": "SUITE 205",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-274-8452",
"fax_number": "530-477-5182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KULDIP GILL M D P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A",
"authorized_official_last_name": "CAMMON",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "530-273-8452"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A061538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kuldip Gill MD PC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kuldip Gill MD PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.