Individual provider Active NPI

Teginder Singh Dhanoa, M.D.

  • Family Medicine Physician
  • Brentwood, CA
National Provider Identifier
1801915830
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94646 Issued in CA
Practice address
2400 Balfour Rd
Ste 120
Brentwood, CA 94513-4956
Phone
(925) 308-8111
Fax
(925) 308-8712
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94646 CA Primary

Addresses

Primary practice location

2400 Balfour Rd
Ste 120
Brentwood, CA 94513-4956

Mailing address

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597-2168

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ18646ZOtherMEDICARE GROUP NUMBER

Other names 1

  • Dr. Jim Dhanoa Other name

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
I20070817000738 CA Practitioner - Family PracticePractitioner - Sports Medicine 8224120381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Jan 11, 2016 Accepting new patients
Pleasanton Emergency Medical Group CurrentSince Jun 29, 2015 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

4000 Dublin Blvd
Ste 150
Dublin, CA 94568
Phone (813) 732-7842

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

1111 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4018

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

Interoperability endpoints

  • Direct secure messaging: tdhanoa13461@direct.whhs.com
  • Direct secure messaging: tdhanoa49857@ehr.johnmuirhealth.com

Organizations & group practices 3

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.

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1801915830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD",
            "address_2": "STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BALFOUR RD",
            "address_2": "STE 120",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134956",
            "telephone_number": "925-308-8111",
            "fax_number": "925-308-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANOA",
        "first_name": "TEGINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "ZZZ18646Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIM",
            "last_name": "DHANOA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

Verify at the official NPI Registry.