Organization Active NPI

Jasdeep S Bal MD a Professional Medical Corporation

  • Internal Medicine Physician
  • Folsom, CA
National Provider Identifier
1962435503
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81239 Issued in CA
Legal business name
JASDEEP S BAL MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
1737 Creekside Dr
Folsom, CA 95630-3917
Phone
(916) 235-3703
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Jasdeep Singh Bal, M.D
Title
Physician
Phone
(916) 835-5396

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A81239 CA Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A86517 CA

Addresses

Primary practice location

1737 Creekside Dr
Folsom, CA 95630-3917

Mailing address

3385 Bordeaux Dr
El Dorado Hills, CA 95762-3984
Phone (916) 293-8540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1962435503",
    "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": "916-293-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 CREEKSIDE DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303917",
            "telephone_number": "916-235-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASDEEP S BAL MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "BAL",
        "authorized_official_first_name": "JASDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-835-5396",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81239",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A86517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • 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.