DR. MANDEEP DHILLON O.D.
NPI 1104271659
Student in an Organized Health Care Education/Training Program in Long Beach, CA

Active since May 03, 2016PECOS Enrolled
5901 E 7TH ST, LONG BEACH, CA 90822(562) 826-8000 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 3, 2022, Mar 17, 2018, Mar 7, 2018 (3 updates tracked since 2018).

About Dr. Mandeep Dhillon O.d. NPPES

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

DR. MANDEEP DHILLON O.D. (NPI 1104271659) is an individual student in an organized health care education/training program in Long Beach, California and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104271659
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MANDEEP DHILLONCredential: O.D.
Location Address5901 E 7TH STLong Beach, CA 90822-5201
Mailing Address5901 E 7th StLong Beach, CA 90822-5201 · (562) 826-8000
Sole ProprietorNo
Enumeration DateMay 3, 2016
Last NPPES UpdateJanuary 3, 20223 updates tracked since enumeration
✔ NPI 1104271659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedOptometristTaxonomy 152W00000X · License 33866 (CA)
5901 E 7TH ST, Long Beach, CA 90822

Secondary Practice Locations 2

Location 14283 Bolina DrUnion City, CA 94587-2577 · Phone (510) 552-7541
Location 25215 Packard StLos Angeles, CA 90019-2824 · Phone (510) 552-7541

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mandeep Dhillon O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mandeep Dhillon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

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

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.

Internal Medicine
5901 E 7TH ST
LONG BEACH, CA 90822
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5901 E 7TH ST
LONG BEACH, CA 90822
Optometrist
5901 E 7TH ST
LONG BEACH, CA 90822
Social Worker
5901 E 7TH ST
LONG BEACH, CA 90822
Registered Nurse (Psychiatric/Mental Health)
5901 E 7TH ST
LONG BEACH, CA 90822
Social Worker (Clinical)
5901 E 7TH ST
LONG BEACH, CA 90822
Speech-Language Pathologist
5901 E 7TH ST
LONG BEACH, CA 90822
General Acute Care Hospital
5901 E 7TH ST
LONG BEACH, CA 90822

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 Mandeep Dhillon's NPI number?

The NPI number for Mandeep Dhillon is 1104271659. It was assigned to this individual provider in the NPPES registry on May 3, 2016.

Where is Mandeep Dhillon located?

Mandeep Dhillon practices at 5901 E 7th St, Long Beach, CA 90822. The listed phone number is (562) 826-8000.

What is Mandeep Dhillon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mandeep Dhillon enrolled in Medicare?

Yes. Mandeep Dhillon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mandeep Dhillon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandeep Dhillon reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Mandeep Dhillon'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 Mandeep Dhillon was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.