JASROOP JIT DHALIWAL
NPI 1871934208
Dentist - General Practice in Lathrop, CA
About Jasroop Jit Dhaliwal NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASROOP JIT DHALIWAL (NPI 1871934208) is an individual general practice provider in Lathrop, California, licensed in California (103205) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jasroop Jit Dhaliwal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jasroop Dhaliwal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manteca, CA 95336
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jasroop Dhaliwal's NPI number?
The NPI number for Jasroop Dhaliwal is 1871934208. It was assigned to this individual provider in the NPPES registry on July 15, 2013. The provider is also known as Jasroop Jit.
Where is Jasroop Dhaliwal located?
Jasroop Dhaliwal practices at 259 Louise Ave, Lathrop, CA 95330. The listed phone number is (773) 977-8645.
What is Jasroop Dhaliwal's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jasroop Dhaliwal enrolled in Medicare?
Yes. Jasroop Dhaliwal is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jasroop Dhaliwal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jasroop Dhaliwal reassigns Medicare benefits to Golden Valley Health Center (Manteca, 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 Jasroop Dhaliwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jasroop Dhaliwal accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Jasroop Dhaliwal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jasroop Dhaliwal was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jasroop Jit Dhaliwal · NPI 1871934208
General Practice provider in Lathrop, California. Individual provider, active in the CMS NPPES registry since July 15, 2013.
## Identity
- **NPI:** 1871934208 (Entity type: Individual)
- **Enumerated:** July 15, 2013
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 103205 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 259 LOUISE AVE, Lathrop, CA 95330-8631
- **Phone:** (773) 977-8645
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Golden Valley Health Center (NPI 1477020121, Manteca, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1871934208) · Data from the CMS NPPES public registry.