1467813873 NPI number — GURMANT P SINGH MD INC

Table of content: (NPI 1467813873)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467813873 NPI number — GURMANT P SINGH MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GURMANT P SINGH MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CENTRAL VALLEY SURGICAL SPECIALISTS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467813873
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 28186
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93729-8186
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-344-5032
Provider Business Mailing Address Fax Number:
559-772-4613

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8307 BRIMHALL RD STE 1706
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93312-4343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-467-1477
Provider Business Practice Location Address Fax Number:
661-467-1480
Provider Enumeration Date:
03/11/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SINGH
Authorized Official First Name:
GURMANT
Authorized Official Middle Name:
P
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
559-977-2400

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X , with the licence number:  A114308 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1174786347 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".