NPIMap

Individual provider Active NPI

Gurtej S Dhillon, MD

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1861567307
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50100 Issued in CA
Practice address
1912 South Court
Ste a
Visalia, CA 93277
Phone
(559) 733-7090
Fax
(559) 733-7175
NPI assigned
Nov 21, 2006
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50100 CA Primary

Addresses

Primary practice location

1912 South Court
Ste a
Visalia, CA 93277

Mailing address

1912 S Court St
Ste a
Visalia, CA 93277-5426
Phone (559) 733-7090

Other identifiers 1

IdentifierTypeStateIssuer
00A501000MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100215000225 CA Practitioner - Internal Medicine 1254481062 Reassigns benefits to 1 organization
Practice locations: Visalia, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Hospitalist Medical Group, IncGroup PAC ID 5395882351, 36 clinicians

Practice addresses (Care Compare)

1912 S Court St
A
Visalia, CA 93277-5426
Phone (559) 733-7090

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 909-0264

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Hospitalist Medical Group, Inc CurrentSince Jan 1, 2015 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Exeter Health Medical Group Inc PastSince Sep 14, 2004 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEJBA/Endpoint/ABEJBA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
American QLHVisalia, CA, CCN A01764 Hospice Contracted Managing Employee Jul 15, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1861567307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 S COURT ST",
            "address_2": "STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775426",
            "telephone_number": "559-733-7090",
            "fax_number": "559-733-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 SOUTH COURT",
            "address_2": "STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-733-7090",
            "fax_number": "559-733-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHILLON",
        "first_name": "GURTEJ",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A501000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.