Individual provider Active NPI

Balwinder Dhillon, FNP

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1114792850
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95026851 Issued in CA
Practice address
525 Roberts LN
Bakersfield, CA 93308-4799
Phone
(866) 707-6664
NPI assigned
Nov 22, 2023
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95026851 CA Primary

Addresses

Primary practice location

525 Roberts LN
Bakersfield, CA 93308-4799

Mailing address

14909 Brockbank Ave
Bakersfield, CA 93314-4307
Phone (661) 431-7623

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209001840 CA Practitioner - Nurse Practitioner 9638512338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians

Practice addresses (Care Compare)

277 E Front St
Buttonwillow, CA 93206-0917
Phone (866) 707-6664

6700 Niles St
Suite 185
Bakersfield, CA 93306-4800
Phone (866) 707-6664

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Dec 13, 2023 Accepting new patients
Omni Family Health Current Accepting new patients
Omni Family Health CurrentSince Dec 13, 2023 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Omni Family Health Past Accepting new patients

Locations

1451 White Ln
Bakersfield, CA 93307

3800 Mall View Rd
Bakersfield, CA 93306

3800 Mall View Rd
Ste 300
Bakersfield, CA 93306

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

525 Roberts Ln
Bakersfield, CA 93308
Phone (661) 392-7850

6700 Niles St
Ste 185
Bakersfield, CA 93306

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: balwinder.dhillon.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1114792850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14909 BROCKBANK AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933144307",
            "telephone_number": "661-431-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROBERTS LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933084799",
            "telephone_number": "866-707-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "BALWINDER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95026851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.