Individual provider Active NPI

Gurpreet Singh Dhaliwal MD, MD

  • Pain Medicine (Anesthesiology) Physician
  • Tracy, CA
National Provider Identifier
1982951554
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A135259 Issued in CA
Practice address
1530 Bessie Ave Ste 104
Tracy, CA 95376
Phone
(209) 279-5540
Fax
(866) 334-8783
NPI assigned
Aug 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A135259 CA
Pain Medicine Physician 208VP0000X A135259 CA
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X A135259 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A135259 CA Primary

Addresses

Primary practice location

1530 Bessie Ave Ste 104
Tracy, CA 95376

Mailing address

215 W Questa TRL
Mountain House, CA 95391-1275

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
I20180824002340 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 8729337647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gurpreet Dhaliwal, M.D., Inc.Group PAC ID 7810246733, 2 clinicians
Jeffrey L Mansoor MD IncGroup PAC ID 2769546399, 2 clinicians

Practice addresses (Care Compare)

1530 Bessie Ave
Suite 104
Tracy, CA 95376-3080
Phone (209) 678-3462

525 W Acacia St
Stockton, CA 95203-2405
Phone (209) 461-3109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135259CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L Mansoor MD Inc Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Gurpreet Dhaliwal, M.D., Inc. Single Specialty CurrentSince May 4, 2018 Accepting new patients

Locations

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

2388 N California St
Stockton, CA 95204
Phone (209) 465-2711

420 W Acacia St
Ste 103
Stockton, CA 95203
Phone (209) 466-9694

205 W 9th St
Ste 104
Tracy, CA 95376

1530 Bessie Ave
Ste 104
Tracy, CA 95376
Phone (209) 678-3462

205 W 9th St
Tracy, CA 95376
Phone (916) 235-6802

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gurpreet.dhaliwal@seva.eclinicaldirectplus.com
  • Direct secure messaging: gdhaliwal413122@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1982951554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W QUESTA TRL",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BESSIE AVE STE 104",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-279-5540",
            "fax_number": "866-334-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHALIWAL MD",
        "first_name": "GURPREET",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A135259",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A135259",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A135259",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A135259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.