Individual provider Active NPI

Jaspreet Kaur Tiwana, M.D.

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1871725895
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A119171 Issued in CA
Practice address
8191 Timberlake Way Ste 200
Sacramento, CA 95823-5419
Phone
(916) 236-5800
Fax
(916) 266-7473
NPI assigned
Aug 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A119171 CA
Internal Medicine Physician 207R00000X A119171 CA Primary

Addresses

Primary practice location

8191 Timberlake Way Ste 200
Sacramento, CA 95823-5419

Mailing address

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 521-6097

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
I20120828000446 CA Practitioner - Internal Medicine 0648427500 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119171CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Physicans Medical Group CurrentSince Jan 1, 2016 Accepting new patients

Locations

8191 Timberlake Way
Ste 200
Sacramento, CA 95823
Phone (916) 236-5800

Interoperability endpoints

  • Direct secure messaging: jtiwana130556@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871725895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COFFEE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554201",
            "telephone_number": "209-521-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8191 TIMBERLAKE WAY STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958235419",
            "telephone_number": "916-236-5800",
            "fax_number": "916-266-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIWANA",
        "first_name": "JASPREET",
        "middle_name": "KAUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A119171",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A119171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.