Amandeep Dhillon, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014736 Issued in CA

Practice address

1015 Baker St # 4
Bakersfield, CA 93305-4341

Phone

(661) 328-4283

Fax

(661) 843-8619

NPI assigned

Jul 22, 2020

Last updated

Oct 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinica Sierra VistaGroup PAC ID 3870407505, 180 clinicians

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Clinica Sierra Vista

  dba East Bakersfield Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1861494338
  Medicare reassignment Care Compare group NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment Care Compare group NPD
• San Joaquin Valley Health Group Inc

  dba 1st Choice Urgent Care

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1639603897
  Medicare reassignment NPD
• Transamerica Medical Group Inc.

  dba Prime Valley Urgent Care

  • Urgent Care Clinic/Center
  • Tulare, CA
  • NPI 1053819177
  Medicare reassignment NPD
• Clinica Sierra Vista

  dba Baker Street Village Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1205222544
  NPD
• Clinica Sierra Vista

  dba Lamont Pharmacy

  • Community/Retail Pharmacy
  • Lamont, CA
  • NPI 1275161325
  NPD
• San Joaquin Valley Health Group Inc

  dba 1st Choice Urgent CAre

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1740923572
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Bakersfield, CA
  • NPI 1861424376
  NPD
• Transamerica Medical Group Inc.

  dba Prime Valley Urgent Care

  • Urgent Care Clinic/Center
  • Delano, CA
  • NPI 1508560673
  NPD
• Clinica Sierra Vista

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1245234673
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1306454640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 BAKER ST # 4",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054341",
            "telephone_number": "661-328-4283",
            "fax_number": "661-843-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 BAKER ST # 4",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054341",
            "telephone_number": "661-328-4283",
            "fax_number": "661-843-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "AMANDEEP",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-10-15",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3733 San Dimas St",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933011407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Manreet Dhaliwal, PMHNP
• Sumandeep Kaur Dhaliwal
• Lindsay Dhanens, FDN-P
• Shravya Dharambhat, MD
• Dhillon Medical Associates Inc
• Amrit Dhillon
• Amritpal Singh Dhillon, MD
• Balwinder Dhillon, FNP
• Harbir Kaur Dhillon, BCBA
• Harinder Singh Dhillon

• Family Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.