Individual provider Active NPI

Gipanjot Dhillon, MD

  • Psychiatry Physician
  • Truckee, CA
National Provider Identifier
1013446046
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A165245 Issued in CA
Practice address
10121 Pine Ave
Truckee, CA 96161-4835
Phone
(530) 587-6011
NPI assigned
Jun 4, 2017
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A165245 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X A165245 CA

Addresses

Primary practice location

10121 Pine Ave
Truckee, CA 96161-4835

Mailing address

1859 Southwell Way
Manteca, CA 95337-7988
Phone (510) 300-5765

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
I20240702003509 CA Practitioner - Psychiatry 0446794325 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A165245CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services Current Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince May 13, 2024 Accepting new patients
County of San Joaquin CurrentSince May 13, 2024 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Sokyahealth Medical Group PC Psychiatry CurrentSince Jan 10, 2025 Accepting new patients
Tarzana Treatment Centers, Inc. Past Accepting new patients

Locations

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

Interoperability endpoints

  • Direct secure messaging: gipanjot.dhillon.p1@direct.sokya.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1013446046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859 SOUTHWELL WAY",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953377988",
            "telephone_number": "510-300-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-587-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "GIPANJOT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-04",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A165245",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A165245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.