Basic Information
| Provider Information | |||||||||
| NPI: | 1831290477 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GREWAL | ||||||||
| FirstName: | SHARNJIT | ||||||||
| MiddleName: | SINGH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10470 OLD PLACERVILLE RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958272539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8004700071 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1160 SUNSET BLVD | ||||||||
| Address2: | |||||||||
| City: | ROCKLIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 957653710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9168651000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2006 | ||||||||
| LastUpdateDate: | 12/02/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | A88367 | CA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | A88367 | CA | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 00A883670 | 05 | CA | MEDICAID | 2688874 | 01 | CA | PACIFICARE | OTHER | 7094828 | 01 | CA | AETNA | OTHER | 5702690 | 01 | CA | FIRST HEALTH | OTHER | 2688874 | 01 | CA | UNITED HEALTHCARE | OTHER | A88367 | 01 | CA | BLUE CROSS | OTHER | 1795133 | 01 | CA | CIGNA | OTHER | 455481 | 01 | CA | INTERPLAN | OTHER | 131492 | 01 | CA | HEALTH NET | OTHER | 1887614 | 01 | CA | GREAT WEST | OTHER | MCMG470400 | 01 | CA | WESTERN HEALTH ADVANTAGE | OTHER | 000810796017 | 01 | CA | PHCS | OTHER | 00A883670 | 01 | CA | BLUE SHIELD | OTHER |