MS. MANJOT KAUR DHALIWAL (PA-C) – Physician Assistant, NPI 1114150703

MS. MANJOT KAUR DHALIWAL (PA-C) is a healthcare provider. based in Shafter, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA20477 (CA). The NPI Number for MS. MANJOT KAUR DHALIWAL (PA-C) is 1114150703

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. MANJOT KAUR DHALIWAL (PA-C)
NPI
1114150703
Phone
(661) 459-1900
Address
659 S CENTRAL VALLEY HWY
Enumeration Date
28 August 2009
Last Update Date
24 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6614591010
Graduation Year
2009 (17 years ago)
PAC ID
3971827163
Group Practice PAC ID
4587881685
Professional Enrollment ID
I20150116000979
Address ID
CA933121959BA8150XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

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Provider Addresses for MS. MANJOT KAUR DHALIWAL (PA-C)

  • Central Valley Highway, North Shafter, Shafter, Kern County, California, 93263, United States

    SHAFTER, CA 932632790

    Phone: (661) 459-1900

    Fax: (661) 459-1974

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $1,733.

Total Amount is formed as General ($1,733) + Research ($0) + Ownership ($0) = $1,733.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($474).

Total Amount

$1,733

General + Research + Ownership

Payments

70

Total payment records

General Amount

$1,733

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150116000979IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10962$0
99214Established patient office or other outpatient visit, 30-39 minutes3020$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
View full utilization report →

Insurance plans in this area (ZIP 93263)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587881685View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantTX
C H I R O P R A C T I CCA
Internal MedicineCA

Reviews

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Frequently asked questions

Is there an official ID for MS. MANJOT KAUR DHALIWAL (PA-C) in U.S. healthcare records?
The official identifier for MS. MANJOT KAUR DHALIWAL (PA-C) is NPI 1114150703.
Is MS. MANJOT KAUR DHALIWAL (PA-C) still an active registrant?
MS. MANJOT KAUR DHALIWAL (PA-C) carries an active NPI according to the public dataset.
How would a patient describe MS. MANJOT KAUR DHALIWAL (PA-C)'s focus?
For MS. MANJOT KAUR DHALIWAL (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. MANJOT KAUR DHALIWAL (PA-C)?
Directory geography for MS. MANJOT KAUR DHALIWAL (PA-C) centers on Shafter, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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