Active NPI
Jaspal S Dhaliwal, MD
- General Practice Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 00044710
- Practice address
- 2801 Santa Maria Way # a
Santa Maria, CA 93455-2118 - Phone
- (805) 938-9200
- NPI assigned
- Dec 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A105383 | CA | |
| General Practice Physician | 208D00000X | 00044710 | WA | Primary |
Addresses
Primary practice location
2801 Santa Maria Way # a
Santa Maria, CA 93455-2118
Mailing address
2801 Santa Maria Way #a
Santa Maria, CA 97304-1073
Phone (805) 938-9200
Other names 1
- Jaspal S Umranangal
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1225 N H St
Lompoc, CA 93436-3301
Phone (805) 737-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A105383 | CA | MD | General Practice Physician |
| 00044710 | WA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Lompoc Valley Medical Center | General Practice | Current | Accepting new patients |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Lompoc Valley Medical Center | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients |
Locations
1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300
1225 N H St
Lompoc, CA 93436
Phone (805) 737-8700
136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
2801 Santa Maria Way
#A
Santa Maria, CA 93455
Phone (805) 938-9200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jaspal.dhaliwal@lvmc.eclinicaldirectplus.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 and National Provider Directory roles.
-
- General Practice Physician
- Lompoc, CA
- NPI 1649282856
-
- Federally Qualified Health Center (FQHC)
- Oceano, CA
- NPI 1336166248
-
- Federally Qualified Health Center (FQHC)
- San Luis Obispo, CA
- NPI 1275553257
-
- Federally Qualified Health Center (FQHC)
- Santa Maria, CA
- NPI 1447277355
-
dba Community Health Centers Cambria
- Federally Qualified Health Center (FQHC)
- Cambria, CA
- NPI 1881611705
-
- General Acute Care Hospital
- Lompoc, CA
- NPI 1194711952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lompoc, CA
- NPI 1194711952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1093018269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 SANTA MARIA WAY #A",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "973041073",
"telephone_number": "805-938-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 SANTA MARIA WAY # A",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934552118",
"telephone_number": "805-938-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALIWAL",
"first_name": "JASPAL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-09",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A105383",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "00044710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JASPAL",
"last_name": "UMRANANGAL",
"middle_name": "S",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.