Pawanjit Kaur Dhillon, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95001567 Issued in CA

Practice address

2915 Paseo Robles Ave
San Martin, CA 95046-9706

Phone

(408) 500-9650

NPI assigned

Feb 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Elevate Addiction & Mental Health Nursing Corporation PC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Martin, CA
  • NPI 1578494837
  NPD (past) Authorized official

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423872000000",
    "number": "1780075564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 PASEO ROBLES AVE",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950469706",
            "telephone_number": "408-500-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 PASEO ROBLES AVE",
            "city": "SAN MARTIN",
            "state": "CA",
            "postal_code": "950469706",
            "telephone_number": "408-500-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "PAWANJIT",
        "middle_name": "KAUR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-14",
        "last_updated": "2015-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "536564",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95001567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Delrosario Chavez, LVN
• County of Santa Clara
• Donna Dano
• Leslie Ann De Montrichard, MD
• Susan Marie Deranleau-Silveira, R.N.
• Julieta Dominguez-Jones, M.D.
• Elevate Addiction & Mental Health Nursing Corporation PC
• Ann Estis
• Cindia Estrada
• Kathleen Froess, OTR/L

• Acute Care Nurse Practitioner in San Martin, CA
• Providers in San Martin, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.