Individual provider Active NPI

Amandeep Singh Sandhu, M.D.

  • Dermatology Physician
  • Orange, CA
National Provider Identifier
1003158544
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A133186 Issued in CA
Practice address
1122 E Lincoln Ave Ste 105
Orange, CA 92865-1908
Phone
(714) 987-9880
Fax
(714) 709-8998
NPI assigned
Mar 22, 2013
Last updated
May 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A133186 CA Primary

Addresses

Primary practice location

1122 E Lincoln Ave Ste 105
Orange, CA 92865-1908

Mailing address

1122 E Lincoln Ave Ste 105
Orange, CA 92865-1908
Phone (714) 987-9880

Other practice location 1

3110 Chino Ave Ste 120
Chino Hills, CA 91709-1294
Phone (909) 313-5111

Other identifiers 1

IdentifierTypeStateIssuer
A133186OtherCACALIFORNIA MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208000930 CA Practitioner - Dermatology 1557668324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Dermatology PCGroup PAC ID 3274960752, 6 clinicians

Practice addresses (Care Compare)

1122 E Lincoln Ave
Suite 105
Orange, CA 92865-1908
Phone (714) 987-9880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision108
Removal of skin lesions1096
Removal of skin cancer123
Removal of nail tissue1-10
Removal or shaving of skin growth75
Skin biopsy194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A133186CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sand Dermatology PC Dermatology Current Accepting new patients
Beaver Medical Group P C Dermatology CurrentSince Dec 25, 2016 Accepting new patients
Sand Dermatology PC Dermatology CurrentSince Feb 1, 2020 Accepting new patients
Advanced Institute of Dermatology, Inc Dermatology CurrentSince Nov 4, 2019 Accepting new patients
Beaver Medical Group P C CurrentSince Dec 25, 2016 Accepting new patients
Epiphany Dermatology PA Dermatology CurrentSince Oct 1, 2025 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients

Locations

3110 Chino Ave
Ste 120
Chino Hills, CA 91709
Phone (909) 313-5111

7000 Boulder Ave
Highland, CA 92346

1122 E Lincoln Ave
Ste 105
Orange, CA 92865
Phone (714) 987-9880

41990 Cook St
Bldg F1006
Palm Desert, CA 92211
Phone (760) 568-9300

9220 Haven Ave
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 819-0930

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

2 W Fern Ave
#1112
Redlands, CA 92373

665 Camino de los Mares
Ste 305
San Clemente, CA 92673
Phone (949) 276-8090

665 Camino de los Mares
#30
San Clemente, CA 92673
Phone (949) 276-8090

7832 Pat Booker Rd
Live Oak, TX 78233
Phone (210) 657-9338

18540 Sigma Rd
San Antonio, TX 78258
Phone (210) 490-4661

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: asandhu72561@direct.llu.edu
  • Direct secure messaging: asandhu@directaddress.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1003158544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651908",
            "telephone_number": "714-987-9880",
            "fax_number": "714-709-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651908",
            "telephone_number": "714-987-9880",
            "fax_number": "714-709-8998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Chino Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917091294",
            "country_code": "US",
            "telephone_number": "909-313-5111",
            "fax_number": "909-313-0959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "AMANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A133186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "A133186",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.