Individual provider Active NPI

Dabi J. Gurmu, M.D, MPH

  • Health Service Clinic/Center
  • Davis, CA
National Provider Identifier
1942402300
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A101761 Issued in CA
Practice address
501 Oak Ave
Davis, CA 95616-3624
Phone
(310) 922-5589
NPI assigned
Jun 5, 2007
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X A101761 CA Primary

Addresses

Primary practice location

501 Oak Ave
Davis, CA 95616-3624

Mailing address

501 Oak Ave
Davis, CA 95616-3624
Phone (310) 922-5589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000758 CA Practitioner - General Practice 9830220904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101761CAMDHealth Service Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Cure4Feet Podiatry Group Inc PastSince Oct 15, 2013 Accepting new patients
Devang M.Gandhi Dental Corp. PastSince Aug 7, 2023 Accepting new patients
United Medical Care Center Inc. PastSince May 1, 2013 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1942402300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 OAK AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163624",
            "telephone_number": "310-922-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 OAK AVE",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163624",
            "telephone_number": "310-922-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURMU",
        "first_name": "DABI",
        "middle_name": "J.",
        "credential": "M.D, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A101761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.