Jasveen Dhillon, MS, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

19173 Issued in CA

Practice address

4561 Dickey Dr
La Mesa, CA 91941-5735

Phone

(619) 328-3025

NPI assigned

Jul 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

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.

• MSK-US, Inc.

  • Diagnostic Ultrasound Physician
  • La Mesa, CA
  • NPI 1033404306
  NPD (past)

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1073713673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 MIRA LAGO WAY",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787426",
            "telephone_number": "602-770-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 DICKEY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415735",
            "telephone_number": "619-328-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "JASVEEN",
        "credential": "MS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "19173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas G Desantis, DC
• Matthew Desiderio, DMD
• Desiree Brittain
• Kelly Dewitt, MD
• Sukhman Dhaliwal, DO
• Diabetes and Endocrine Associates
• Diamond Orthotic Laboratory
• Diamond Surgical Suites LLC
• Ashley Raquel Diaz I
• Hector Diaz Jr., IDC

• Surgical Physician Assistant in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.