Healthcare Provider Details

I. General information

NPI: 1174468334
Provider Name (Legal Business Name): NORCAL HEALTH PARTNERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2018 N ST # 9687
SACRAMENTO CA
95811-4223
US

IV. Provider business mailing address

2018 N ST # 9687
SACRAMENTO CA
95811-4223
US

V. Phone/Fax

Practice location:
  • Phone: 661-549-0444
  • Fax:
Mailing address:
  • Phone: 661-549-0444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TANVEER DHALIWAL
Title or Position: CEO / OWNER
Credential: FNP-C
Phone: 661-549-0444