Individual provider Active NPI

Jatinder S Dhillon, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Danville, CA
National Provider Identifier
1669581732
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A42591 Issued in CA
Practice address
1320 El Capitan Dr
Suite 120
Danville, CA 94526-6258
Phone
(925) 676-2600
Fax
(925) 689-3102
NPI assigned
Aug 30, 2006
Last updated
Jan 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A042591 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A42591 CA Primary
Vascular Surgery Physician 2086S0129X A42591 CA

Addresses

Primary practice location

1320 El Capitan Dr
Suite 120
Danville, CA 94526-6258

Mailing address

1320 El Capitan Dr
Suite 120
Danville, CA 94526-6258
Phone (925) 676-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040225000413 CA Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 8426943119 Reassigns benefits to 2 organizations
I20260603002945 HI Practitioner - Cardiovascular Disease (Cardiology) 8426943119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Cardiovascular and Thoracic Associates IncGroup PAC ID 9032290770, 17 clinicians

Practice addresses (Care Compare)

1320 El Capitan Dr
Suite 120
Danville, CA 94526-6260
Phone (925) 676-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.12
Promoting interoperability
100
Improvement activities
40
Cost
78.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)21
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A042591CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Cardiovascular and Thoracic Associates Inc. CurrentSince Jan 1, 2009 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Nov 30, 2009 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
California Heart Eastbay Medical Group Specialist PastSince Apr 14, 1986 Accepting new patients
Andreas Kamlot MD, a Medical Corportation Past Accepting new patients

Locations

4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600

2485 High School Ave
Ste 312
Concord, CA 94520
Phone (925) 676-2600

2540 East St
Concord, CA 94520
Phone (925) 674-2228

1320 El Capitan Dr
Ste 120
Danville, CA 94526
Phone (925) 676-2600

5565 W Las Positas Blvd
Ste 340
Pleasanton, CA 94588
Phone (925) 395-4325

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Interoperability endpoints

  • Direct secure messaging: jdhillon17855@ehr.johnmuirhealth.com

Organizations & group practices 6

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1669581732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 EL CAPITAN DR",
            "address_2": "SUITE 120",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266258",
            "telephone_number": "925-676-2600",
            "fax_number": "925-689-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 EL CAPITAN DR",
            "address_2": "SUITE 120",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266258",
            "telephone_number": "925-676-2600",
            "fax_number": "925-689-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "JATINDER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A042591",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A42591",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A42591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.