Individual provider Active NPI

Kawalpreet Dhaliwal

  • Occupational Therapist
  • Torrance, CA
National Provider Identifier
1144944646
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22626 Issued in CA
Practice address
2990 Lomita Blvd Ste B
Torrance, CA 90505-5102
Phone
(310) 546-3461
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X
Physical Rehabilitation Occupational Therapist 225XP0019X
Occupational Therapist 225X00000X 22626 CA Primary

Addresses

Primary practice location

2990 Lomita Blvd Ste B
Torrance, CA 90505-5102

Mailing address

632 W 11TH St
San Pedro, CA 90731-4112
Phone (805) 618-4665

Other practice location 1

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

Other identifiers 1

IdentifierTypeStateIssuer
22626OtherCACALIFORNIA BOARD OF OCCUPATIONAL THERAPY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107000137 CA Practitioner - Occupational Therapist in Private Practice 3375910250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Cities Orthopedics and Sports MedicineGroup PAC ID 7517014251, 33 clinicians

Practice addresses (Care Compare)

400 S Sepulveda Blvd
Suite 200
Manhattan Beach, CA 90266-6876
Phone (310) 546-3461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22626CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Cities Orthopedics and Sports Medicine CurrentSince Sep 1, 2022 Accepting new patients
Beach Cities Orthopedics & Sports Medicine CurrentSince Sep 1, 2022 Accepting new patients

Locations

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

2990 Lomita Blvd
#B
Torrance, CA 90505
Phone (310) 546-3461

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1144944646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W 11TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314112",
            "telephone_number": "805-618-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 LOMITA BLVD STE B",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055102",
            "telephone_number": "310-546-3461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1812 Verdugo Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912081407",
            "country_code": "US",
            "telephone_number": "818-790-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "KAWALPREET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "22626",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.