Healthcare Provider Details

I. General information

NPI: 1144141441
Provider Name (Legal Business Name): SUKHMAN SINGH BAINS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 SOLACE PL
MOUNTAIN VIEW CA
94040-4309
US

IV. Provider business mailing address

3679 WOODLEY DR
SAN JOSE CA
95148-2831
US

V. Phone/Fax

Practice location:
  • Phone: 831-402-8728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: