Provider Demographics
NPI:1508740770
Name:GC, KAMALA (NP)
Entity type:Individual
Prefix:
First Name:KAMALA
Middle Name:
Last Name:GC
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KAMALA
Other - Middle Name:
Other - Last Name:GC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:42718 WEIGAND CT
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5119
Mailing Address - Country:US
Mailing Address - Phone:408-242-2616
Mailing Address - Fax:
Practice Address - Street 1:42718 WEIGAND CT
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-5119
Practice Address - Country:US
Practice Address - Phone:408-242-2616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95032324363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology