Active NPI
Bhupinder Dhaliwal
- Licensed Vocational Nurse
- Martinez, CA
National Provider Identifier
1356006134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 257451
- Practice address
- 150 Muir Rd
Martinez, CA 94553-4668 - Phone
- (925) 372-2000
- NPI assigned
- Nov 5, 2021
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 257451 | CA | Primary |
Addresses
Primary practice location
150 Muir Rd
Martinez, CA 94553-4668
Mailing address
3924 Folsom Dr
Antioch, CA 94531-8235
Phone (925) 586-9410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B7877264 | Other | CA | DMV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257451 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1356006134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3924 FOLSOM DR",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318235",
"telephone_number": "925-586-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MUIR RD",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534668",
"telephone_number": "925-372-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALIWAL",
"first_name": "BHUPINDER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-05",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "257451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMV",
"identifier": "B7877264",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.