JATINDER PAL SINGH DHILLON (NPI# 1366867574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366867574 |
| Entity Type | Individual |
| Full Name | JATINDER PAL SINGH DHILLON |
| Credential | LVN |
| Practice Address |
1904 Richland Avenue Ceres CA 95307 |
| Mailing Address |
1904 Richland Ave Ste A Ceres CA 95307-4562 |
| Practice Telephone | 2093008800 |
| Mailing Telephone | 2093008800 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2017-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
95142918 | CA | Nursing Service Providers |
| N | 164X00000X | Licensed Vocational Nurse | 255453 | CA | Nursing Service Providers |
| Street Address |
1904 RICHLAND AVENUE |
| City | CERES |
| State | CA |
| Zip Code | 95307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316073778 | Donna J Payne | Case Manager/Care Coordinator | 1904 Richland Avenue, Ceres, CA 95307 | 2007-02-27 |
| 1215396387 | Joey Steve Nunes | Counselor | 1904 Richland Avenue, Ceres, CA 95307 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144762022 | Roxanne Mata | Technician | 1904 Richland Ave., Ceres, CA 95307 | 2016-11-09 |
| 1023496379 | Steven Leonard II | Technician, Other | 1904 Richalnd Ave, Ceres, CA 95307 | 2015-05-07 |
| 1942619820 | Thevi Phanthalangsy | Pharmacist | 1421 Coffee Road, Modesto, CA 95307 | 2014-08-05 |
| 1588973937 | Gloria June Coats | Nurse Practitioner | 3641 Mitchell Road, Suite H, Ceres, CA 95307 | 2010-10-04 |
| 1992953236 | John H Meekay | Dentist | 1788 Mitchell Road Suite 105, Ceres, CA 95307 | 2008-08-28 |
| 1104994656 | Katherine Anne Kucera | Dentist | 3507 Morgan Rd, Ceres, CA 95307 | 2006-12-01 |
| 1073615084 | Tracy S Park | Dentist | 2760 3rd Street, Suite A, Ceres, CA 95307 | 2006-09-01 |
| 1902855588 | Kerry B Evnin Md Inc A Professional Medical Corporation | Family Medicine | 3641 Mitchell Rd, H, Ceres, CA 95307 | 2006-05-09 |
| 1376012559 | David Andrew Kirkpatrick | Technician | 1904 Richland Ave Bldg D, Ceres, CA 95307 | 2018-11-17 |
| 1235618794 | Jessica Danette Miller | Licensed Vocational Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307 | 2018-08-07 |
| Find all providers in zip 95307 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651294 | Ash Singh | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2020-02-18 |
| 1215585716 | Praveena Devi Pal | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-08-28 |
| 1124683008 | Joanna Kristine Affolter | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2019-05-06 |
| 1821552365 | Fanta Mboka | Registered Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2019-01-29 |
| 1730650102 | Barbara Loving | Registered Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-12-11 |
| 1568947141 | Christine Marie Ehrler | Registered Nurse | 1904 Richland Ave Bldg F, Ceres, CA 95307-4562 | 2018-09-28 |
| 1861972804 | Angel Garcia | Registered Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-08-20 |
| 1053809871 | Navneet Gill | Registered Nurse | 1904 Richland Ave Bldg A, Ceres, CA 95307-4562 | 2018-04-26 |
| 1598253585 | Eric Shambourger | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2018-04-25 |
| 1598279077 | Michele Nielsen | Registered Nurse | 1904 Richland Ave, Ceres, CA 95307-4562 | 2017-11-20 |
| Find all providers in CERES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.