MEDICARE: G SEKHON APC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)	50820	CA
2	1223G0001X	General Practice Dentistry	50820	CA

General Provider Information

NPI Number	:	1548641152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G SEKHON APC

Provider Business Mailing Address
First Line	:	545 SARATOGA AVE STE B
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-5672
Country	:	US
Telephone Number	:	408-403-4337
Fax Number	:	916-691-0976

Provider Business Practice Location Address
First Line	:	3031 W MARCH LN STE 328
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95219-6562
Country	:	US
Telephone Number	:	209-594-0485
Fax Number	:	209-594-0720

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GURSIMRAT K SEKHON
Credential	:	D.D.S.
Telephone Number	:	209-594-0485

Provider Enumeration Date	:	06/10/2015
Last Update Date	:	05/16/2026

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