Individual provider Active NPI

Herman Sandhu

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
National Provider Identifier
1013462076
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
990 Fulton St
#303
San Francisco, CA 94117-1756
Phone
(925) 872-2444
NPI assigned
Aug 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

990 Fulton St
#303
San Francisco, CA 94117-1756

Mailing address

990 Fulton St
#303
San Francisco, CA 94117-1756
Phone (925) 872-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 21, 2022 through Jun 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32802CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Wise Mind Institute, a Psychological Corporation CurrentSince Jul 3, 2022 Accepting new patients

Locations

617 Veterans Blvd
Ste 107
Redwood City, CA 94063
Phone (650) 204-4204

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1013462076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 FULTON ST",
            "address_2": "#303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171756",
            "telephone_number": "925-872-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 FULTON ST",
            "address_2": "#303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171756",
            "telephone_number": "925-872-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "HERMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.