JOSHUA DANIEL GILLILAND PA
NPI 1245708791
General Practice in San Diego, CA

Q: What is Joshua Gilliland's NPI number?

The NPI number for Joshua Gilliland is 1245708791. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Q: What is Joshua Gilliland's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Gilliland was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 02, 2018PECOS Enrolled

34800 BOB WILSON DR, SAN DIEGO, CA 92134(210) 367-3312 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2024, Nov 2, 2018 (2 updates tracked since 2018).

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About Joshua Daniel Gilliland Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA DANIEL GILLILAND PA (NPI 1245708791) is an individual general practice provider in San Diego, California, licensed in Texas (PA18154) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245708791

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameJOSHUA DANIEL GILLILANDCredential: PA

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504 · (580) 491-2782

Phone(210) 367-3312

Sole ProprietorNo

Enumeration DateNovember 2, 2018

Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1245708791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in TX · PA18154

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

34800 BOB WILSON DR, San Diego, CA 92134

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Daniel Gilliland Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)