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JASMINE DHALIWAL MD
NPI 1245925452
Family Medicine in San Rafael, CA

Active since April 05, 2023PECOS Enrolled
1650 LOS GAMOS DR, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 27, 2026, Apr 5, 2023 (2 updates tracked since 2023).

About Jasmine Dhaliwal Md NPPES

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

JASMINE DHALIWAL MD (NPI 1245925452) is an individual family medicine provider in San Rafael, California, licensed in California (A207917) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245925452
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJASMINE DHALIWALCredential: MD
Location Address1650 LOS GAMOS DRSan Rafael, CA 94903-1838
Mailing Address1650 Los Gamos DrSan Rafael, CA 94903-1838 · (415) 444-2000
Phone(415) 444-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2023
Last NPPES UpdateAugust 27, 20262 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1245925452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A207917
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1650 LOS GAMOS DR, San Rafael, CA 94903
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5991263964
PECOS Enrollment IDI20260819004658
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 Jasmine Dhaliwal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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 94903 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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.

MAITRI MEHTA DO
Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
GEORGIA CROWE
Occupational Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
DR. MERCEDES TRAVERSO D.O.
Pediatrics
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-4460
JULIA SYLVIE BETCHART DPT
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
DAVID RHYOO PHARMD
Pharmacist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2000
SIMON CARNE DPT
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (240) 595-0449
VINCE ANGELO ANGALOT ASUNCION
Physical Therapist
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2962
DR. ARASH SALARI DO
Family Medicine
1650 LOS GAMOS DR
SAN RAFAEL, CA 94903
Marin County (415) 444-2330

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 Jasmine Dhaliwal's NPI number?

The NPI number for Jasmine Dhaliwal is 1245925452. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Jasmine Dhaliwal located?

Jasmine Dhaliwal practices at 1650 Los Gamos Dr, San Rafael, CA 94903. The listed phone number is (415) 444-2000.

What is Jasmine Dhaliwal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jasmine Dhaliwal enrolled in Medicare?

Yes. Jasmine Dhaliwal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jasmine Dhaliwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jasmine Dhaliwal reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Jasmine 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 Jasmine Dhaliwal was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.