Active NPI
Amandeep Singh Sandhu, M.D.
- Dermatology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A133186
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A133186 | Other | CA | CALIFORNIA 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
Enrollment records 1
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
Practice addresses (Care Compare)
1122 E Lincoln Ave
Suite 105
Orange, CA 92865-1908
Phone (714) 987-9880
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 108 |
| Removal of skin lesions | 1096 |
| Removal of skin cancer | 123 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 75 |
| Skin biopsy | 194 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A133186 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Dermatology PC | Dermatology | Current | Accepting new patients |
| Beaver Medical Group P C | Dermatology | Current | Accepting new patients |
| Sand Dermatology PC | Dermatology | Current | Accepting new patients |
| Advanced Institute of Dermatology, Inc | Dermatology | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Epiphany Dermatology PA | Dermatology | Current | 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
- asandhu72561@direct.llu.edu
- 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.
-
- Dermatology Physician
- Palm Desert, CA
- NPI 1184919011
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
dba Optum
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
Dermatology
-
- Dermatology Physician
- Chino Hills, CA
- NPI 1750939153
-
- Dermatology Physician
- Waco, TX
- NPI 1043615263
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.