Active NPI
Inderjit K Dhaliwal, O.D.
- Optometrist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 013142T
- Practice address
- 3680 W Shaw Ave
Fresno, CA 93711-3231 - Phone
- (559) 277-1785
- Fax
- (559) 277-1036
- NPI assigned
- Mar 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 013142T | CA | Primary |
Addresses
Primary practice location
3680 W Shaw Ave
Fresno, CA 93711-3231
Mailing address
5951 N Sycamore Ave
Fresno, CA 93722-8111
Phone (559) 277-1785
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013142T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fogg Remington Eyecare Inc | Current | Accepting new patients | |
| Fogg Remington Eyecare Inc | Optometrist | Current | Accepting new patients |
| Fogg Remington Eyecare, Inc. | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Past | Accepting new patients |
Locations
1817 Shaw Ave
Ste 104
Clovis, CA 93611
Phone (559) 449-5010
1360 E Herndon Ave
Ste 401
Fresno, CA 93720
Phone (209) 449-5010
3830 N 1st St
Fresno, CA 93726
Phone (559) 449-5010
2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010
40232 Junction Dr
Oakhurst, CA 93644
Phone (559) 449-5010
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- inderjit.dhaliwal.1@17661.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Fresno, CA
- NPI 1023070869
-
- Ophthalmology Physician
- Oakhurst, CA
- NPI 1801859145
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194845206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5951 N SYCAMORE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937228111",
"telephone_number": "559-277-1785",
"fax_number": "559-277-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3680 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937113231",
"telephone_number": "559-277-1785",
"fax_number": "559-277-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALIWAL",
"first_name": "INDERJIT",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "013142T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.