Individual provider Active NPI

Baltej Singh Dosanjh, M.D.

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1346536711
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A127059 Issued in CA
Practice address
1401 Spanos CT Ste 205
Modesto, CA 95355-2813
Phone
(209) 525-3199
Fax
(209) 525-3802
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A127059 CA Primary

Addresses

Primary practice location

1401 Spanos CT Ste 205
Modesto, CA 95355-2813

Mailing address

1401 Spanos CT Ste 205
Modesto, CA 95355-2813
Phone (209) 525-3199

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
I20140625001008 CA Practitioner - Family Practice 1658596150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1908 Coffee Rd
Suite 3
Modesto, CA 95355-2719
Phone (209) 846-9429

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Salida, CA, CCN 057695
  • Careone Home Health and Hospice, Inc Home health agency, Salida, CA, CCN 059401
  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Duggal Medical Corporation Inc Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Scenic Faculty Medical Group, Inc. Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Stanislaus Health and Wellness Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250

1209 Woodrow Ave
Ste B10
Modesto, CA 95350
Phone (209) 291-0687

1031 15th St
Ste 6
Modesto, CA 95354
Phone (209) 558-8400

1908 Coffee Rd
Ste 3
Modesto, CA 95355
Phone (209) 529-1542

1401 Spanos Ct
Ste 205
Modesto, CA 95355
Phone (209) 525-3199

401 Paradise Rd
Ste E
Modesto, CA 95351
Phone (209) 558-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 3

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1346536711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT STE 205",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552813",
            "telephone_number": "209-525-3199",
            "fax_number": "209-525-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT STE 205",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552813",
            "telephone_number": "209-525-3199",
            "fax_number": "209-525-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSANJH",
        "first_name": "BALTEJ",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A127059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.