Individual provider Active NPI

Jasdeep S Bal, M.D

  • Internal Medicine Physician
  • El Dorado Hills, CA
National Provider Identifier
1720025802
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81239 Issued in CA
Practice address
3385 Bordeaux Dr
El Dorado Hills, CA 95762-3984
Phone
(916) 835-5396
NPI assigned
May 31, 2006
Last updated
Aug 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81239 CA Primary

Addresses

Primary practice location

3385 Bordeaux Dr
El Dorado Hills, CA 95762-3984

Mailing address

3385 Bordeaux Dr
El Dorado Hills, CA 95762-3984
Phone (916) 835-5396

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
I20040428001540 CA Practitioner - Internal Medicine 4082601232 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81239CAMDMental Health Counselor
A81239CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amplehealth Internal Medicine CurrentSince Apr 1, 2016 Accepting new patients
Vibra Physicians LLC CurrentSince Sep 14, 2013 Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC CurrentSince Apr 1, 2016 Accepting new patients
Jasdeep S Bal MD a Professional Medical Corporation Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

6620 Coyle Ave
Ste 302
Carmichael, CA 95608
Phone (916) 966-8500

1737 Creekside Dr
Folsom, CA 95630
Phone (916) 235-3703

330 Montrose Dr
Folsom, CA 95630
Phone (916) 351-9151

3270 Arena Blvd
Ste 405
Sacramento, CA 95834
Phone (916) 418-4595

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1720025802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 BORDEAUX DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623984",
            "telephone_number": "916-835-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BORDEAUX DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623984",
            "telephone_number": "916-835-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAL",
        "first_name": "JASDEEP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

Verify at the official NPI Registry.