Active NPI
Sandhu Medical Corporation Inc
- Anesthesiology Physician
- Pomona, CA
National Provider Identifier
1043450851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G48507
- Legal business name
- SANDHU MEDICAL CORPORATION INC
- Practice address
- 255 E Bonita Ave BLDG 3B
Pomona, CA 91767-1923 - Phone
- (909) 593-3550
- NPI assigned
- Mar 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jasvir S. Sandhu, M.D.
- Title
- President
- Phone
- (909) 985-2112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G48507 | CA | Primary |
Addresses
Primary practice location
255 E Bonita Ave BLDG 3B
Pomona, CA 91767-1923
Mailing address
PO Box 148
Claremont, CA 91711-0148
Phone (909) 985-2112
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Glendora, CA
- NPI 1902997174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300752000000",
"number": "1043450851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 148",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917110148",
"telephone_number": "909-985-2112",
"fax_number": "909-985-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E BONITA AVE BLDG 3B",
"city": "POMONA",
"state": "CA",
"postal_code": "917671923",
"telephone_number": "909-593-3550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDHU MEDICAL CORPORATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-06",
"last_updated": "2011-03-22",
"status": "A",
"authorized_official_last_name": "SANDHU",
"authorized_official_first_name": "JASVIR",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-985-2112",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "G48507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.