Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gaurav Mohindra

Individual provider Physician Assistant · NPI 1538529375

Gaurav Mohindra is a Physician Assistant in Carle Place, New York. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016

Practice location Address checks out

1 Rudolph Dr Apt 2T
Carle Place, NY 11514-1095
Phone: (714) 860-6124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019562 (NY)

Record details

NPI number1538529375
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 4, 2016
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021
Mailing address1 Rudolph Dr, Apt 2t, Carle Place, NY 11514-1095

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carle Place