Individual provider Active NPI

Kulbir Dhillon, NP

  • Nurse Practitioner
  • Auburn, CA
National Provider Identifier
1720179450
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21231 Issued in CA
Practice address
11600 Education St
Auburn, CA 95602-2468
Phone
(530) 889-0707
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 21231 CA Primary

Addresses

Primary practice location

11600 Education St
Auburn, CA 95602-2468

Mailing address

124 Clay Isle CT
Roseville, CA 95747-7183
Phone (414) 750-5373

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000449 CA Practitioner - Nurse Practitioner 1456432780 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3282WIMDChiropractor
21231CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Feb 17, 2024 Accepting new patients
SNF Wound Care CurrentSince Jun 28, 2024 Accepting new patients
Community Health Centers of America CurrentSince Feb 17, 2024 Accepting new patients
All Inclusive Medical Services, Inc CurrentSince Feb 1, 2018 Accepting new patients
Capital Medical Extended Care Past Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1720179450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CLAY ISLE CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477183",
            "telephone_number": "414-750-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 EDUCATION ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022468",
            "telephone_number": "530-889-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "KULBIR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "21231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.