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JASLEEN KAUR DHALIWAL
NPI 1093246779
Nurse Practitioner - Family in Manteca, CA

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
1205 E NORTH ST, MANTECA, CA 95336(951) 973-2033 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2026, Apr 26, 2021, Mar 23, 2017 (3 updates tracked since 2017).

About Jasleen Kaur Dhaliwal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASLEEN KAUR DHALIWAL (NPI 1093246779) is an individual family provider in Manteca, California, licensed in California (95005648) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Long Beach, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093246779
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJASLEEN KAUR DHALIWAL
Location Address1205 E NORTH STManteca, CA 95336-4900
Mailing Address1205 E North StManteca, CA 95336-4900 · (951) 973-2033
Phone(951) 973-2033
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 23, 2017
Last NPPES UpdateAugust 13, 20263 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1093246779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95005648
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 1093246779 (CA)
1205 E NORTH ST, Manteca, CA 95336
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Other Names 1

Former Name (1)Jasleen Kaur Khaira Jasleen Kaur

Secondary Practice Location 1

Location 12801 Atlantic AveLong Beach, CA 90806-1701 · Phone (562) 933-2000

Other Identifiers 1

Medicaid1093246779CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jasleen Kaur Dhaliwal is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597032524
PECOS Enrollment IDI20170523002319
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jasleen Dhaliwal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gurpreet Dhaliwal, M.D., Inc.
13 mi
Pain Medicine
1530 BESSIE AVE STE 104
Tracy, CA 95376
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1659850394 (209) 279-5540
County Of Santa Clara
47 mi
Federally Qualified Health Center (FQHC)
143 N MAIN ST
Milpitas, CA 95035
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1043354020 (California)
  • 2,460 clinicians in this Medicare group
NPI 1285629899 (408) 885-5000
Emergency Physicians Associates San Jose PC
52 mi
Emergency Medicine
2105 FOREST AVE
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 197 clinicians in this Medicare group
NPI 1306311576 (408) 947-2500
Columbia Emergency Medical Group Inc
323 mi
Emergency Medicine
2801 ATLANTIC AVE
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
NPI 1871551119 (562) 933-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMIE NGOC TU NGUYEN PHARM.D.
Pharmacist
1205 E NORTH ST
MANTECA, CA 95336
San Joaquin County (209) 239-8381
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION
Emergency Medicine
1205 E NORTH ST
MANTECA, CA 95336
San Joaquin County (469) 401-2386
PATRICIA KAIDA SAKAI PHARM D
Pharmacist
1205 E NORTH ST
MANTECA, CA 95336
San Joaquin County (209) 239-8381
HONEYCOMB MEDICAL SERVICES, A MED CORP
Emergency Medicine
1205 E NORTH ST
MANTECA, CA 95336
San Joaquin County (469) 401-2386
DR. KELLY MAH M.D.
Obstetrics & Gynecology
1205 E NORTH ST
MANTECA, CA 95336
San Joaquin County (209) 612-9077
SAHIL RAO MD
Internal Medicine
1205 E NORTH ST
MANTECA, CA 95336
San Joaquin County (512) 850-5565
DR. SALLY TSUNEKAWA PHARM D
Pharmacist
1205 E NORTH ST
MANTECA, CA 95336
San Joaquin County (209) 239-8381
MS. JAYSHREE MAHESH MODI RPH
Pharmacist
1205 E NORTH ST
MANTECA, CA 95336
San Joaquin County (209) 239-8381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasleen Dhaliwal's NPI number?

The NPI number for Jasleen Dhaliwal is 1093246779. It was assigned to this individual provider in the NPPES registry on March 23, 2017. The provider is also known as Jasleen Kaur Khaira Jasleen Kaur.

Where is Jasleen Dhaliwal located?

Jasleen Dhaliwal practices at 1205 E North St, Manteca, CA 95336. The listed phone number is (951) 973-2033.

What is Jasleen Dhaliwal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jasleen Dhaliwal enrolled in Medicare?

Yes. Jasleen Dhaliwal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jasleen Dhaliwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasleen Dhaliwal reassigns Medicare benefits to 4 organizations: Gurpreet Dhaliwal, M.D., Inc. (Tracy, CA), County Of Santa Clara (Milpitas, CA), Emergency Physicians Associates San Jose PC (San Jose, CA) and Columbia Emergency Medical Group Inc (Long Beach, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jasleen Dhaliwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jasleen Dhaliwal was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.