Individual provider Active NPI

Jaspal S Dhaliwal, MD

  • General Practice Physician
  • Santa Maria, CA
National Provider Identifier
1093018269
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
00044710 Issued in WA
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

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20131015001117 CA Practitioner - Family Practice 8325065741 Reassigns benefits to 2 organizations

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
Lompoc Valley Medical CenterGroup PAC ID 9739275595, 90 clinicians

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

LicenseStateTypeSpecialty
A105383CAMDGeneral Practice Physician
00044710WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of the Central Coast Inc CurrentSince Aug 20, 2013 Accepting new patients
Lompoc Valley Medical Center General Practice CurrentSince Apr 17, 2020 Accepting new patients
Community Health Centers of the Central Coast Inc CurrentSince Aug 20, 2013 Accepting new patients
Community Health Centers of the Central Coast Inc Current Accepting new patients
Lompoc Valley Medical Center CurrentSince Apr 17, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.