Organization Active NPI

Gurpreet Dhaliwal, M.D., Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Tracy, CA
National Provider Identifier
1659850394
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A135259 Issued in CA
Legal business name
GURPREET DHALIWAL, M.D., INC.
Doing business as
Gurpreet Dhaliwal, M.D., Inc.
Practice address
1530 Bessie Ave Ste 104
Tracy, CA 95376-3080
Phone
(209) 279-5540
Fax
(866) 334-8783
NPI assigned
Aug 13, 2018
Last updated
Mar 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. Gurpreet Singh Dhaliwal, M.D.
Title
Owner
Phone
(209) 279-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A135259 CA Primary

Addresses

Primary practice location

1530 Bessie Ave Ste 104
Tracy, CA 95376-3080

Mailing address

1530 Bessie Ave Ste 104
Tracy, CA 95376-3080
Phone (209) 279-4450

Other names 1

  • GURPREET DHALIWAL, M.D., INC. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180824002222 CA Part B Supplier - Clinic/Group Practice 7810246733 Receives reassigned benefits from 2 practitioners
Practice locations: Tracy, CA

National Provider Directory

National Provider Directory

Locations

1930 Del Paso Rd
Ste 120
Sacramento, CA 95834
Phone (916) 419-7292

205 W 9th St
Tracy, CA 95376
Phone (916) 235-6802

Practitioners & affiliated clinicians

Practitioners 2

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": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1659850394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BESSIE AVE STE 104",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763080",
            "telephone_number": "209-279-4450",
            "fax_number": "663-348-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BESSIE AVE STE 104",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763080",
            "telephone_number": "209-279-5540",
            "fax_number": "866-334-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURPREET DHALIWAL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-279-5540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A135259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GURPREET DHALIWAL, M.D., INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.