NPIMap

Individual provider Active NPI

Manjit Singh Dhillon, MD

  • Infectious Disease Physician
  • Modesto, CA
National Provider Identifier
1487602819
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
89879 Issued in CA
Practice address
700 17TH St Ste 102
Modesto, CA 95354-1248
Phone
(209) 488-3728
Fax
(209) 653-0585
NPI assigned
May 5, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 89879 CA
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 89879 CA
Infectious Disease Physician 207RI0200X 89879 CA 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
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170623002081 CA Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Infectious Disease 9638188964 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dhillon MD IncGroup PAC ID 2567527427, 2 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
San Joaquin Critical Care Medical Group, Inc.Group PAC ID 8628325123, 9 clinicians
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians

Practice addresses (Care Compare)

1000 Greenley Rd
Sonora, CA 95370-5200
Phone (209) 536-5000

1125 Sir Francis Drake Blvd
Kentfield, CA 94904-1418
Phone (415) 456-9680

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

1801 E March LN
Suite C300
Stockton, CA 95210-6657
Phone (209) 464-6422

2800 L St
Sacramento, CA 95816-5616

525 W Acacia St
Stockton, CA 95203-2405
Phone (209) 944-5550

607 E Magnolia St
Stockton, CA 95202-1846
Phone (209) 687-5490

730 17TH St
Modesto, CA 95354-1209
Phone (209) 488-3728

900 Greenley Rd
Suite 923
Sonora, CA 95370-5287
Phone (209) 536-3730

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89879CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Team, Inc. Single Specialty CurrentSince Jun 12, 2023 Accepting new patients
Community Medical Team Acute Care Corporation Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Sutter Valley Medical Foundation Single Specialty CurrentSince Jan 18, 2018 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 18, 2018 Accepting new patients
Sonora Community Hospital CurrentSince Jul 6, 2024 Accepting new patients
Sonora Community Hospital Single Specialty CurrentSince Jul 6, 2024 Accepting new patients
Hospitalists of Modesto Medical Group Inc Single Specialty CurrentSince Oct 1, 2019 Accepting new patients
Sonora Community Hospital Single Specialty Current Accepting new patients
Hospitalist Medicine Physicians of Los Angeles County Inc Single Specialty Past Accepting new patients
Hospitalists of Modesto Medical Group Past Accepting new patients

Locations

1231 W Vine St
#19
Lodi, CA 95240
Phone (209) 368-2030

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

900 Greenley Rd
Ste 923
Sonora, CA 95370
Phone (209) 536-5090

1801 E March Ln
Ste C300
Stockton, CA 95210
Phone (209) 464-6422

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mdhillon361783@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1487602819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 DALE RD",
            "address_2": "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": {
        "last_name": "DHILLON",
        "first_name": "MANJIT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "89879",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "89879",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "89879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.