KAMAL PREET DHAWAN MD
NPI 1114075025
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fontana, CA

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
9961 SIERRA AVE, FONTANA, CA 92335(909) 427-3910 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kamal Preet Dhawan Md NPPES

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

KAMAL PREET DHAWAN MD (NPI 1114075025) is an individual child & adolescent psychiatry provider in Fontana, California, licensed in California (A89903) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1114075025
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameKAMAL PREET DHAWANCredential: MD
Location Address9961 SIERRA AVEFontana, CA 92335-6720
Mailing Address9961 Sierra AveFontana, CA 92335-6720 · (909) 427-3910
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 8, 2007
Last NPPES UpdateDecember 3, 2021
✔ NPI 1114075025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A89903
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
9961 SIERRA AVE, Fontana, CA 92335

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

Kamal Preet Dhawan Md 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 ID3476737438
PECOS Enrollment IDI20110415000339
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 Kamal Dhawan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 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.

Physical Therapist
9961 SIERRA AVE, BUILDING 3A
FONTANA, CA 92335
Pediatrics
9961 SIERRA AVE, KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA, CA 92335
Pharmacist
9961 SIERRA AVE
FONTANA, CA 92335
Pathology (Dermatopathology)
9961 SIERRA AVE
FONTANA, CA 92335
Dietitian, Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Anesthetist, Certified Registered
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335
Nurse Practitioner
9961 SIERRA AVE
FONTANA, CA 92335

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 Kamal Dhawan's NPI number?

The NPI number for Kamal Dhawan is 1114075025. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Kamal Dhawan located?

Kamal Dhawan practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 427-3910.

What is Kamal Dhawan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kamal Dhawan enrolled in Medicare?

Yes. Kamal Dhawan 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 organization bills Medicare for Kamal Dhawan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kamal Dhawan reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Kamal Dhawan'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 Kamal Dhawan was last updated on December 3, 2021. 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.