| Gill Medical Associates, Inc. | |
|
1503 E March Ln Stockton CA 95210-5622 | |
| (209) 661-4406 | |
| Not Available |
| Full Name | Gill Medical Associates, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1503 E March Ln, Stockton, California |
| Authorized Official Name and Position | Vickramjit Gill (CEO) |
| Authorized Official Contact | 5183699534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gill Medical Associates, Inc. Po Box 1434 Lodi CA 95241-1434 Ph: (209) 661-4406 | Gill Medical Associates, Inc. 1503 E March Ln Stockton CA 95210-5622 Ph: (209) 661-4406 |
| NPI Number | 1578149076 |
|---|---|
| Provider Enumeration Date | 03/23/2021 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 9234539560 |
|---|---|
| Medicare Enrollment ID | O20210608003117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578149076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Angelina Kaisarieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477562486 PECOS PAC ID: 1052305802 Enrollment ID: I20040413001685 |
| Provider Name | Albina G Benabaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346239613 PECOS PAC ID: 9335150747 Enrollment ID: I20060524000154 |
| Provider Name | Guido Dulay Abellera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386724805 PECOS PAC ID: 5496847139 Enrollment ID: I20070824000836 |
| Provider Name | Amrik Singh Sidhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073618500 PECOS PAC ID: 8921133257 Enrollment ID: I20100311000933 |
| Provider Name | Humayun Mohammed Popal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831773498 PECOS PAC ID: 9335544964 Enrollment ID: I20210820000204 |
| Provider Name | Dominic Pennisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548703036 PECOS PAC ID: 8224420666 Enrollment ID: I20220117000665 |
| Provider Name | Vincent Bruno Pennisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306375662 PECOS PAC ID: 3971961350 Enrollment ID: I20230615003762 |
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