Organization Active NPI

Dhillon MD Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Modesto, CA
National Provider Identifier
1386803385
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
DHILLON MD INC
Practice address
700 17TH St Ste 102
Modesto, CA 95354-1248
Phone
(209) 488-3728
Fax
(209) 653-0585
NPI assigned
Jun 4, 2008
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Manjit Singh Dhillon, MDNPI 1487602819
Title
MD
Phone
(209) 488-3728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU Primary

Addresses

Primary practice location

700 17TH St Ste 102
Modesto, CA 95354-1248

Mailing address

4120 Dale Rd Ste J8-266
Modesto, CA 95356-9232
Phone (209) 522-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170623001880 CA Part B Supplier - Clinic/Group Practice 2567527427 Receives reassigned benefits from 4 practitioners
Practice locations: Turlock, CA; Lodi, CA; Stockton, CA; Sonora, CA; Sebastopol, CA; Kentfield, CA; Modesto, CA; San Francisco, CA

National Provider Directory

National Provider Directory

Locations

4120 Dale Rd
#J8266
Modesto, CA 95356

4120 Dale Rd
Ste J8266
Modesto, CA 95356

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1386803385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DALE RD STE J8-266",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569232",
            "telephone_number": "209-522-6100",
            "fax_number": "209-522-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 17TH ST STE 102",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541248",
            "telephone_number": "209-488-3728",
            "fax_number": "209-653-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHILLON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "MANJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "209-488-3728",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.