Provider Demographics
NPI:1942207170
Name:DHILLON, JASPREET (MD)
Entity Type:Individual
Prefix:
First Name:JASPREET
Middle Name:
Last Name:DHILLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 ABBOTT ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4483
Mailing Address - Country:US
Mailing Address - Phone:831-649-1000
Mailing Address - Fax:831-649-4962
Practice Address - Street 1:355 ABBOTT ST
Practice Address - Street 2:100
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4483
Practice Address - Country:US
Practice Address - Phone:831-751-7070
Practice Address - Fax:831-751-7050
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA52287207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA05D0590281OtherCLIA
CA110215137OtherRAIL ROAD MEDICARE
CA00A522870Medicaid
CAZZZ61518ZOtherBLUE SHIELD PROVIDER NUMBER
CA110215137OtherRAIL ROAD MEDICARE
CAF94162Medicare UPIN