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NPI Code Detail

MEDICARE: SHAMINDER GILL PA-C

MEDICARE: SHAMINDER GILL PA-C
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
1363AM0700XMedical Physician Assistant58769CA
2363A00000XPhysician AssistantNY

General Provider Information

NPI Number : 1801241385
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAMINDER GILL PA-C
Provider Business Mailing Address
First Line : 17662 WINDING CREEK RD
Second Line :
City : SALINAS
State : CA
Zip : 93908-1444
Country : US
Telephone Number : 831-210-8143
Fax Number :
Provider Business Practice Location Address
First Line : 450 E ROMIE LN
Second Line :
City : SALINAS
State : CA
Zip : 93901-4029
Country : US
Telephone Number : 831-757-4333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2016
Last Update Date : 04/27/2026

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Directions to “ SHAMINDER GILL PA-C” Practice Location

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