Organization Active NPI

Randhawa Medical Group, Inc.

Doing business as Newman Medical Clinic

  • Family Medicine Physician
  • Newman, CA
National Provider Identifier
1043395064
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RANDHAWA MEDICAL GROUP, INC.
Doing business as
Newman Medical Clinic
Practice address
1349 Main St
Newman, CA 95360-1326
Phone
(209) 862-3604
Fax
(209) 862-3904
NPI assigned
Oct 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tripjeet Birring, FNPNPI 1265514467
Title
Ceo
Phone
(209) 862-3604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

1349 Main St
Newman, CA 95360-1326

Mailing address

1349 Main St
Newman, CA 95360-1326
Phone (209) 862-3604

Other names 1

  • NEWMAN MEDICAL CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

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)…

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2023 Change of OwnershipThis provider was the seller Rural Health Network IncCCN 058935, CA, NPI 1366136665

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWMAN MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newman, CA

Sources for this page

Verify at the official NPI Registry.