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KANWALDEEP MANN MD
NPI 1184038572
Psychiatry & Neurology - Psychiatry in Lathrop, CA

Active since June 13, 2014PECOS Enrolled
77.69/100
CMS Quality Rating
17036 S HARLAN RD STE 107, LATHROP, CA 95330(949) 805-0668(949) 805-0668 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 31, 2026, Nov 9, 2018, Sep 13, 2018 (3 updates tracked since 2018).

About Kanwaldeep Mann Md NPPES

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

KANWALDEEP MANN MD (NPI 1184038572) is an individual psychiatry provider in Lathrop, California, licensed in Oklahoma (30733) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1184038572
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKANWALDEEP MANNCredential: MD
Location Address17036 S HARLAN RD STE 107Lathrop, CA 95330-8739
Mailing Address17036 S Harlan Rd Ste 107Lathrop, CA 95330-8739 · (949) 805-0668 · Fax (949) 805-0668
Phone(949) 805-0668
Fax(949) 805-0668
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 13, 2014
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1184038572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in OK · 30733✔ Licensed in CA · A155565
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
17036 S HARLAN RD STE 107, Lathrop, CA 95330
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Other Names 1

Former Name (1)Kanwaldeep Dhillon M.d.

Secondary Practice Location 1

Location 1525 21st StOakland, CA 94612-1605 · Phone (510) 587-3434 · Fax (510) 587-3420

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanwaldeep Mann Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476844960
PECOS Enrollment IDI20251124004339
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95330 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

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 Kanwaldeep Mann's NPI number?

The NPI number for Kanwaldeep Mann is 1184038572. It was assigned to this individual provider in the NPPES registry on June 13, 2014. The provider is also known as Kanwaldeep Dhillon M.D..

Where is Kanwaldeep Mann located?

Kanwaldeep Mann practices at 17036 S Harlan Rd Ste 107, Lathrop, CA 95330. The listed phone number is (949) 805-0668.

What is Kanwaldeep Mann's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kanwaldeep Mann enrolled in Medicare?

Yes. Kanwaldeep Mann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kanwaldeep Mann was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.