Healthcare Provider Details

I. General information

NPI: 1871948265
Provider Name (Legal Business Name): APAR SINGH GHUMAN D.O., M.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 ROSSMOOR PKWY
WALNUT CREEK CA
94595-2538
US

IV. Provider business mailing address

1873 W TRAVERSE PKWY STE E100
LEHI UT
84048-5985
US

V. Phone/Fax

Practice location:
  • Phone: 801-215-9309
  • Fax:
Mailing address:
  • Phone: 801-215-9309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number18023
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number036.151226
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: