Randhawa Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RANDHAWA MEDICAL GROUP, INC.

Practice address

1349 Main St
Newman, CA 95360-1326

Phone

(209) 862-3604

Fax

(209) 862-3904

NPI assigned

Oct 26, 2006

Organization subpart

No

Name

Tripjeet Birring, FNP

Title

Ceo

Phone

(209) 862-3604

Medicare changes of ownership in which this facility was the buyer or the seller.

• Rural Health Network Inc.

  • Rural Health Clinic/Center
  • Newman, CA
  • NPI 1366136665

  Sold to, 2023-09-01

  CMS change of ownership

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

• NEWMAN MEDICAL CLINIC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043395064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 MAIN ST",
            "city": "NEWMAN",
            "state": "CA",
            "postal_code": "953601326",
            "telephone_number": "209-862-3604",
            "fax_number": "209-862-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 MAIN ST",
            "city": "NEWMAN",
            "state": "CA",
            "postal_code": "953601326",
            "telephone_number": "209-862-3604",
            "fax_number": "209-862-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDHAWA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BIRRING",
        "authorized_official_first_name": "TRIPJEET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-862-3604",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWMAN MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nishandeep Chahal Dental Corp
• Sonia Orbai
• Estephanie Partida, MA, BCBA
• Martha Plata Pulido, RDHAP OMT
• Trenise Rahman
• Kimberly Rethans
• Connie Marie Richmond, LVN
• Amadita Rodriguez, CAS
• Rural Health Network Inc.
• Carol Jean Simpson, DNP

• All providers in Newman, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.