Active NPI
Gurinder S. Dhillon M D Professional Corporation
- Specialist
- Fairfield, CA
National Provider Identifier
1477732899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A49131
- Legal business name
- GURINDER S. DHILLON M D PROFESSIONAL CORPORATION
- Practice address
- 1525 Webster St Ste a
Fairfield, CA 94533-4935 - Phone
- (707) 423-2506
- Fax
- (707) 429-1158
- NPI assigned
- Nov 1, 2007
- Last updated
- Dec 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gurinder S Dhillon, M.D.
- Title
- President
- Phone
- (707) 423-2510
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A49131 | CA | Primary |
Addresses
Primary practice location
1525 Webster St Ste a
Fairfield, CA 94533-4935
Mailing address
1525 Webster St Ste a
Fairfield, CA 94533-4935
Phone (707) 423-2510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
171 Butcher Rd
Ste B
Vacaville, CA 95687
Phone (707) 423-2506
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Cardiovascular Disease Physician
- Fairfield, CA
- NPI 1669490454
-
- Primary Care Nurse Practitioner
- Fairfield, CA
- NPI 1417617580
-
- Internal Medicine Physician
- Fairfield, CA
- NPI 1427079169
-
- Medical Physician Assistant
- Fairfield, CA
- NPI 1356489678
-
- Internal Medicine Physician
- Fairfield, CA
- NPI 1659487395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354492800000",
"number": "1477732899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 WEBSTER ST STE A",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945334935",
"telephone_number": "707-423-2510",
"fax_number": "707-425-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 WEBSTER ST STE A",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945334935",
"telephone_number": "707-423-2506",
"fax_number": "707-429-1158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GURINDER S. DHILLON M D PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2012-12-03",
"status": "A",
"authorized_official_last_name": "DHILLON",
"authorized_official_first_name": "GURINDER",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-423-2510",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A49131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.