NPIMap

Organization Active NPI

G.S. Randhawa D.D.S., Inc.

  • General Practice Dentistry
  • Emeryville, CA
National Provider Identifier
1003446642
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
G.S. RANDHAWA D.D.S., INC.
Practice address
5901 Christie Ave Ste 106
Emeryville, CA 94608-1952
Phone
(510) 658-9775
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Dr. Gurjit Singh Randhawa, DDSNPI 1265640379
Title
Dentist / President
Phone
(510) 220-0415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5901 Christie Ave Ste 106
Emeryville, CA 94608-1952

Mailing address

5901 Christie Ave Ste 106
Emeryville, CA 94608-1952
Phone (510) 658-9775

National Provider Directory

National Provider Directory

Locations

5901 Christie Ave
Ste 106
Emeryville, CA 94608
Phone (509) 626-9900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1003446642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 CHRISTIE AVE STE 106",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081952",
            "telephone_number": "510-658-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 CHRISTIE AVE STE 106",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081952",
            "telephone_number": "510-658-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.S. RANDHAWA D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "GURJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DENTIST / PRESIDENT",
        "authorized_official_telephone_number": "510-220-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.