NPIMap

Organization Active NPI

Gurpreet S. Dhugga Medical Corporation

  • Internal Medicine Physician
  • Fairfield, CA
National Provider Identifier
1053649376
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A63219 Issued in CA
Legal business name
GURPREET S. DHUGGA MEDICAL CORPORATION
Practice address
5030 Business Center Dr
Ste 130
Fairfield, CA 94534-6874
Phone
(707) 864-1056
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Gurpreet S Dhugga, M.D.NPI 1356429161
Title
President
Phone
(707) 864-1095

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A63219 CA Primary

Addresses

Primary practice location

5030 Business Center Dr
Ste 130
Fairfield, CA 94534-6874

Mailing address

5030 Business Center Dr
Ste 130
Fairfield, CA 94534-6874
Phone (707) 864-1056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091125000395 CA Part B Supplier - Clinic/Group Practice 0840339107 Receives reassigned benefits from 16 practitioners
Practice locations: Fairfield, CA

National Provider Directory

National Provider Directory

Locations

5030 Business Center Dr
Ste 130
Fairfield, CA 94534
Phone (707) 290-5700

475 29th St
Oakland, CA 94609
Phone (510) 832-3222

2910 McClure St
Oakland, CA 94609
Phone (510) 549-3166

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1053649376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BUSINESS CENTER DR",
            "address_2": "STE 130",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346874",
            "telephone_number": "707-864-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BUSINESS CENTER DR",
            "address_2": "STE 130",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346874",
            "telephone_number": "707-864-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURPREET S. DHUGGA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "DHUGGA",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-864-1095",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.