Individual provider Active NPI

Jaspreet Singh Dhanjal, D.O.

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1003378118
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A20253 Issued in CA
Practice address
2235 Douglas Blvd Ste 510
Roseville, CA 95661-4266
Phone
(916) 446-4449
Fax
(916) 446-4370
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A20253 CA Primary

Addresses

Primary practice location

2235 Douglas Blvd Ste 510
Roseville, CA 95661-4266

Mailing address

2235 Douglas Blvd
Ste. 510
Roseville, CA 95661
Phone (916) 446-4449

Other practice location 1

809 Groveland Lane
Lincoln, CA 95648-8042
Phone (916) 446-4449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124001828 CA Practitioner - Osteopathic Manipulative Medicine 2264880657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Thomas W Hopkins MD a Professional CorporationGroup PAC ID 8022010032, 3 clinicians

Practice addresses (Care Compare)

2235 Douglas Blvd
Suite 510
Roseville, CA 95661-4266
Phone (916) 446-4449

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Roseville, CA, CCN 057545
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A20253CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas W Hopkins MD a Professional Corporation Internal Medicine CurrentSince Dec 11, 2023 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

890 Groveland Ln
Lincoln, CA 95648

809 Groveland LN Ste 100
Lincoln, CA 95648

890 Groveland Ln
Ste 100
Lincoln, CA 95648
Phone (916) 253-9996

508 Gibson Dr
Ste 110
Roseville, CA 95678
Phone (916) 783-1080

2235 Douglas Blvd
Ste 510
Roseville, CA 95661
Phone (916) 446-4449

Interoperability endpoints

  • Direct secure messaging: jdhanjal670994@hisp.ehr.sutterhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1003378118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 DOUGLAS BLVD",
            "address_2": "STE. 510",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-446-4449",
            "fax_number": "916-446-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 DOUGLAS BLVD STE 510",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614266",
            "telephone_number": "916-446-4449",
            "fax_number": "916-446-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Groveland Lane",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "CA",
            "postal_code": "956488042",
            "country_code": "US",
            "telephone_number": "916-446-4449",
            "fax_number": "916-446-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHANJAL",
        "first_name": "JASPREET",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A20253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.