Organization Active NPI

Tejinder S. Randhawa M.D., a Professional Corporation

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1053891754
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TEJINDER S. RANDHAWA M.D., A PROFESSIONAL CORPORATION
Practice address
311 N Abby St
Fresno, CA 93701-1906
Phone
(559) 580-8088
Fax
(559) 253-1302
NPI assigned
Aug 21, 2018
Last updated
Aug 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Authorized official

Name
Tejinder Singh Randhawa, M.D.NPI 1588720916
Title
President
Phone
(559) 580-8088

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
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

311 N Abby St
Fresno, CA 93701-1906

Mailing address

PO Box 25578
Fresno, CA 93729-5578
Phone (559) 580-8088

National Provider Directory

National Provider Directory
Tax ID family
Childrens Medical Centers of Fresno2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

311 N Abby St
Fresno, CA 93701
Phone (559) 455-1500

Practitioners & affiliated clinicians

Practitioners 2

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": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1053891754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25578",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295578",
            "telephone_number": "559-580-8088",
            "fax_number": "559-253-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N ABBY ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011906",
            "telephone_number": "559-580-8088",
            "fax_number": "559-253-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJINDER S. RANDHAWA M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "TEJINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-580-8088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.