Individual provider Active NPI

Gurinder S Dhillon, MD

  • Cardiovascular Disease Physician
  • Fairfield, CA
National Provider Identifier
1669490454
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A49131 Issued in CA
Practice address
1261 Travis Blvd
Ste 320
Fairfield, CA 94533-4897
Phone
(707) 423-2506
Fax
(707) 425-4236
NPI assigned
Jul 18, 2006
Last updated
Dec 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A49131 CA
Cardiovascular Disease Physician 207RC0000X A49131 CA Primary

Addresses

Primary practice location

1261 Travis Blvd
Ste 320
Fairfield, CA 94533-4897

Mailing address

1261 Travis Blvd
Ste 320
Fairfield, CA 94533-4897
Phone (707) 423-2506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405001650 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759278179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1261 Travis Blvd
Fairfield, CA 94533-4800
Phone (707) 423-2506

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.57 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49131CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gurinder S. Dhillon M D Professional Corporation CurrentSince Jul 1, 2003 Accepting new patients
Solano Regional Medical Group, Inc. Internal Medicine Current Accepting new patients

Locations

1234 Empire St
Fairfield, CA 94533

1261 Travis Blvd
Ste 320
Fairfield, CA 94533
Phone (707) 423-2506

1525 Webster St
Ste A
Fairfield, CA 94533
Phone (707) 423-2506

770 Mason St
Vacaville, CA 95688
Phone (707) 446-2935

Organizations & group practices 2

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1669490454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "address_2": "STE 320",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334897",
            "telephone_number": "707-423-2506",
            "fax_number": "707-425-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD",
            "address_2": "STE 320",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334897",
            "telephone_number": "707-423-2506",
            "fax_number": "707-425-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "GURINDER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49131",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A49131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.