Jaisleen Dhaliwal

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020101 Issued in CA

Practice address

1317 Oakdale Rd Ste 800
Modesto, CA 95355-3366

Phone

(833) 478-1818

NPI assigned

Mar 3, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• East Bay Integrated Care, Inc

  dba Hospice of the East Bay

  • Home Health Agency
  • Pleasant Hill, CA
  • NPI 1205946555
  NPD
• Pain Clinics of Central California, Inc.

  • Pain Medicine Physician
  • Visalia, CA
  • NPI 1861060733
  NPD

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1750038345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 CELADON LN",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777705",
            "telephone_number": "510-244-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 OAKDALE RD STE 800",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553366",
            "telephone_number": "833-478-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "JAISLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Rose Deyoung
• Jasmine K Dhadda
• Amandeep Kaur Dhaliwal, RN
• Amarjit Singh Dhaliwal, MD
• Anand Singh Dhaliwal, MD
• Jaspreet Singh Dhaliwal
• Kiranpreet Dhaliwal, DO
• Loveleen Dhaliwal
• Ramandeep Dhaliwal, MS, LMFT
• Ramandeep Singh Dhaliwal, M.D.

• Family Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.