Sartaj K Dhillon, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A53571 Issued in CA

Practice address

229 W Cherry Ave
Porterville, CA 93257

Phone

(559) 784-5717

Fax

(559) 784-2443

NPI assigned

May 11, 2006

Last updated

Apr 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sartaj.dhillon.p1@direct.ariachc.nextgenshare.com

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.

• Aria Community Health Center

  dba Aria Community Health Center Riverdale

  • Federally Qualified Health Center (FQHC)
  • Riverdale, CA
  • NPI 1154736429
  NPD (past)
• Aria Community Health Center

  dba Aria Community Health Center Mobile 3

  • Federally Qualified Health Center (FQHC)
  • Lemoore, CA
  • NPI 1235826116
  NPD (past)
• Aria Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Coalinga, CA
  • NPI 1669019139
  NPD (past)
• Aria Community Health Center

  dba Aria Community Health Center Hanford 109

  • Federally Qualified Health Center (FQHC)
  • Hanford, CA
  • NPI 1699294108
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1053361238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932450580",
            "telephone_number": "559-386-4500",
            "fax_number": "559-282-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W CHERRY AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "93257",
            "telephone_number": "559-784-5717",
            "fax_number": "559-784-2443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11051 N Sherman Rd",
            "address_purpose": "LOCATION",
            "city": "Edgerton",
            "state": "WI",
            "postal_code": "535349002",
            "country_code": "US",
            "telephone_number": "608-884-3354",
            "fax_number": "608-884-5022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "SARTAJ",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "34218-020",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053361238",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdhillon262465@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sdhillon262465@direct-ehr-ssmhc.com",
            "address_1": "11051 N Sherman Rd",
            "city": "Edgerton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535349002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "11051 N Sherman Rd",
            "city": "Edgerton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535349002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maria Carmela A Detubio, MD
• Elise Gina Devecchio-Cavagnaro, PH.D.
• Martin Dominic Devine, MD
• Ashna Kaur Dhillon, MD
• Raelene Dhillon
• Satwant S Dhillon, M.D.
• Rohin Dhir, MD
• Michael Frank Thomas Di Lorenzo III, M.D.
• Dialysis Center of Porterville LLC
• Griselda Diaz Torres, ACSW

• Internal Medicine Physician in Porterville, CA
• Providers in Porterville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.