Diljot Tiwana, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95023707 Issued in CA

Practice address

2643 Primrose Dr
Lodi, CA 95242-9774

Phone

(209) 715-1064

NPI assigned

Mar 9, 2023

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

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

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 and National Provider Directory roles.

• Gill Medical Group, Inc.

  • Family Medicine Physician
  • Lodi, CA
  • NPI 1235642588
  Medicare reassignment NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1841990553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 PRIMROSE DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952429774",
            "telephone_number": "209-715-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 PRIMROSE DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952429774",
            "telephone_number": "209-715-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIWANA",
        "first_name": "DILJOT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Payless Inc (Rite Aid Pharmacy 06000)
• Angelica Em Tindle
• Banesa Tinoco
• Caitlin Ann Tipple, PHARMD
• Brooke Tirado
• Todd Franklin Dental, PC
• Tomio T. Odama, M.D., Inc.
• Sarah Tompkins, MPT,FAAOMPT
• Tony Chang Billing, Incorporated
• Jazmin Torrres

• Family Nurse Practitioner in Lodi, CA
• Providers in Lodi, 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 Mar 9, 2023; 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.