MEDICARE: DR. RAJPREET S DHESI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	A50255	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BLUE SHIELD PIN #	OTHER	CA	00A502550
2	05D1097147	OTHER	CA	FEDERAL CLIA ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588770069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJPREET S DHESI MD

Provider Business Mailing Address
First Line	:	1280 E GIBSON RD
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95776-6315
Country	:	US
Telephone Number	:	530-650-4500
Fax Number	:	530-661-4416

Provider Business Practice Location Address
First Line	:	1280 E GIBSON RD
Second Line	:
City	:	WOODLAND
State	:	CA
Zip	:	95776-6315
Country	:	US
Telephone Number	:	530-650-4500
Fax Number	:	530-661-4416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	03/10/2026

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