Active NPI
Gaganjit Sandhu, FNP
- Family Nurse Practitioner
- Brentwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95013758
- Practice address
- 100 Cortona Way Ste 160
Brentwood, CA 94513-7157 - Phone
- (925) 926-0195
- NPI assigned
- Nov 15, 2019
- Last updated
- Mar 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95013758 | CA | Primary |
| Emergency Registered Nurse | 163WE0003X | 828947 | CA |
Addresses
Primary practice location
100 Cortona Way Ste 160
Brentwood, CA 94513-7157
Mailing address
100 Cortona Way
Brentwood, CA 94513-7124
Phone (925) 926-0195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4505 Precissi LN
Suite a
Stockton, CA 95207-6240
Phone (833) 478-1818
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 27.23 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 90.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 828947 | CA | MD | Emergency Registered Nurse |
| 95013758 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion Express of California Inc | Current | Accepting new patients | |
| Pain Clinics of Central California, Inc. | Pain Medicine | Current | Accepting new patients |
| Universal Healthcare Professional Medical PC | Past | Accepting new patients | |
| Regenerative Spine, Pain, and Neuropathy Centers, Inc. | Past | Accepting new patients |
Locations
4605 Buena Vista Rd
Ste 600815
Bakersfield, CA 93311
3751 E Shields Ave
Fresno, CA 93726
Phone (559) 272-1295
5771 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 272-1295
509 S I St
Ste B
Madera, CA 93637
Phone (559) 474-8445
1317 Oakdale Rd
Ste 800
Modesto, CA 95355
Phone (209) 284-0729
1801 Tully Rd
Ste F
Modesto, CA 95350
Phone (209) 526-5770
66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114
3151 Crow Canyon Pl
San Ramon, CA 94583
Phone (925) 202-0340
4505 Precissi Ln
Ste A
Stockton, CA 95207
Phone (209) 425-3815
717 E El Camino Real
Ste 5
Sunnyvale, CA 94087
Phone (408) 228-3700
2350 W Whitendale Ave
Visalia, CA 93277
Phone (559) 625-5286
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1861060733
-
dba IVX Health
- Infusion Therapy Clinic/Center
- Fremont, CA
- NPI 1447604525
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bakersfield, CA
- NPI 1497323570
-
dba Americans for Better Health Medical Group
- Family Medicine Physician
- Pasadena, CA
- NPI 1073987095
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Joseph's Medical Center of Stockton
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1083259899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CORTONA WAY",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945137124",
"telephone_number": "925-926-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CORTONA WAY STE 160",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945137157",
"telephone_number": "925-926-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "GAGANJIT",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-15",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95013758",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "CA",
"license": "828947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.