Amandeep Kaur Dhaliwal, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95020820 Issued in CA

Practice address

1923 Coffee Rd # 12
Modesto, CA 95355-2708

Phone

(209) 409-8454

NPI assigned

Jun 16, 2022

Last updated

Jun 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amandeep Dhaliwal Professional name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: naadihealthcaremanteca.amandeepdhaliwal@144887.advancedmd-direct.com

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.

• Lodi Advanced Medical Center PC

  • Nurse Practitioner
  • Lodi, CA
  • NPI 1285361188
  Medicare reassignment NPD
• Pinnacle Sjir

  • Diagnostic Radiology Physician
  • Manteca, CA
  • NPI 1437705456
  Medicare reassignment NPD

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1881324374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 VERNAZZA CT MANTECA CA 95337",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95337",
            "telephone_number": "510-304-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 COFFEE RD # 12",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552708",
            "telephone_number": "209-409-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "AMANDEEP",
        "middle_name": "KAUR",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95020820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDEEP",
            "last_name": "DHALIWAL",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine Dewane, MD
• Curtis Richard Dewar, M.D.
• Kristine Dewitt, LMFT
• Stacey Rose Deyoung
• Jasmine K Dhadda
• Amarjit Singh Dhaliwal, MD
• Anand Singh Dhaliwal, MD
• Jaisleen Dhaliwal
• Jaspreet Singh Dhaliwal
• Kiranpreet Dhaliwal, DO

• Family Nurse Practitioner in Modesto, CA
• Providers in Modesto, 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 Jun 16, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.