Jasdeep S Bal MD a Professional Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00A812395 Issued in CA

Legal business name

JASDEEP S BAL MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

3385 Bordeaux Dr
El Dorado Hills, CA 95762-3984

Phone

(916) 835-5396

NPI assigned

Oct 23, 2007

Last updated

Mar 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasdeep S Bal, MDNPI 1720025802

Title

Owner

Phone

(916) 835-5396

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasdeep S Bal, M.D

  • Internal Medicine Physician
  • El Dorado Hills, CA
  • NPI 1720025802
  NPD (past) Authorized official

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1922297209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 BORDEAUX DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623984",
            "telephone_number": "916-835-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BORDEAUX DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957623984",
            "telephone_number": "916-835-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASDEEP S BAL MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "BAL",
        "authorized_official_first_name": "JASDEEP",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-835-5396",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A812395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayah Jackson
• James C Cope, DDS, a Professional Corporation
• Haidee Malia James, D.C.
• Eric Neil Jaques
• Jared W. Ruminson, DDS
• Daniel Kenneth Jeanes
• Jennifer Datwyler, DMD, Inc (Magic Smiles Dentistry)
• Jennifer Johnson, Rdhap, Inc
• Ann Elizabeth Jeppesen, MPT
• Jessica Clark Therapy Services, Inc

• Internal Medicine Physician in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.