GURSIMRANJIT TIWANA – Family Nurse Practitioner, NPI 1053898643

GURSIMRANJIT TIWANA is a healthcare provider. based in South san francisco, California. specializing in NURSE PRACTITIONER. They hold a License No. APRN11039240 (FL). The NPI Number for GURSIMRANJIT TIWANA is 1053898643

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
GURSIMRANJIT TIWANA
NPI
1053898643
Phone
(650) 761-4056
Address
611 Gateway Blvd Ste 120
Enumeration Date
26 July 2018
Last Update Date
26 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507614056
Graduation Year
2018 (8 years ago)
PAC ID
2264783653
Group Practice PAC ID
1456744598
Professional Enrollment ID
I20180925000326
Address ID
CA940807066SO611XXBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

16,353 NURSE PRACTITIONER in CA

Provider Addresses for GURSIMRANJIT TIWANA

  • 611 Gateway Blvd Ste 120

    South San Francisco, CA 940807066

    Phone: (650) 761-4056

    Type: Location

  • 333 SE 2nd Ave Ste 2000

    Miami, FL 331312185

    Phone: (650) 761-4056

    Type: Location

  • 5642, East Grove Avenue, Fresno, Fresno County, California, 93727, United States

    FRESNO, CA 937278834

    Phone:

    Type: Mailing

  • 1660 E HERNDON AVE STE 101

    FRESNO, CA 937203346

    Phone:

    Type: Mailing

  • 101, East Herndon Avenue, Fresno, Fresno County, California, 93720, United States

    FRESNO, CA 937203346

    Phone: (559) 431-9753

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $2,829.

Total Amount is formed as General ($2,829) + Research ($0) + Ownership ($0) = $2,829.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($913).

Total Amount

$2,829

General + Research + Ownership

Payments

141

Total payment records

General Amount

$2,829

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180925000326INurse PractitionerCATBD
I20250606000066INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94080)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456744598View full group profile
NameSpecialtyState
Nurse PractitionerNY
Nurse PractitionerAZ
Nurse PractitionerCA
Family PracticeCA
Nurse PractitionerFL
Nurse PractitionerPA
Nurse PractitionerNY
Sleep Medicine, Internal MedicineAZ
Nurse PractitionerFL
Nurse PractitionerKS

Reviews

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Frequently asked questions

Does GURSIMRANJIT TIWANA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GURSIMRANJIT TIWANA uses 1053898643.
Is GURSIMRANJIT TIWANA listed as active for patients and plans?
The listing shows GURSIMRANJIT TIWANA as active in the NPI system.
What taxonomy line describes GURSIMRANJIT TIWANA?
For research purposes, treat GURSIMRANJIT TIWANA as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect GURSIMRANJIT TIWANA on a map?
Expect South San Francisco, California as a primary anchor for GURSIMRANJIT TIWANA unless the record lists multiple sites.
Is the information about GURSIMRANJIT TIWANA up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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