Individual provider Active NPI

Amarjit Singh Dhaliwal, MD

  • Hematology & Oncology Physician
  • Modesto, CA
National Provider Identifier
1922019322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A49314 Issued in CA
Practice address
1401 Spanos CT
134
Modesto, CA 95355
Phone
(209) 529-2000
Fax
(209) 525-3805
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A49314 CA Primary

Addresses

Primary practice location

1401 Spanos CT
134
Modesto, CA 95355

Mailing address

1401 Spanos CT
134
Modesto, CA 95355
Phone (209) 529-2000

Other identifiers 1

IdentifierTypeStateIssuer
00A49310MedicaidCA

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
I20081211000035 CA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2961563879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Cancer Medical Center IncGroup PAC ID 7517245863, 4 clinicians

Practice addresses (Care Compare)

1138 Norman Dr
Manteca, CA 95336-5965
Phone 2098231609331

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49314CAMDGeneral Practice Dentistry
A49314CAMDHematology & Oncology Physician

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Valley Cancer Medical Center Inc CurrentSince Aug 13, 2016 Accepting new patients
County of Stanislaus CurrentSince Oct 7, 2011 Accepting new patients
County of Stanislaus CurrentSince Oct 7, 2011 Accepting new patients
County of Stanislaus Current Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients

Locations

1138 Norman Dr
Ste 101
Manteca, CA 95336
Phone (209) 823-1609

1138 Norman Dr
Manteca, CA 95336
Phone (209) 823-1609

1524 McHenry Ave
Ste 330
Modesto, CA 95350
Phone (209) 558-7085

1401 Spanos Ct
Ste 134
Modesto, CA 95355
Phone (209) 529-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922019322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "134",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-529-2000",
            "fax_number": "209-525-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "134",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-529-2000",
            "fax_number": "209-525-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL",
        "first_name": "AMARJIT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A49314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A49310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.