Manjinder S Randhawa, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F09200045 Issued in CA

Practice address

1260 Williams Way
Yuba City, CA 95991-2400

Phone

(530) 751-4295

Fax

(530) 749-4906

NPI assigned

Feb 26, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/colusar-7905f953

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923
  Medicare reassignment
• Colusa Medical Center, LLC

  • Rural Health Clinic/Center
  • Orland, CA
  • NPI 1215406400
  NPD (past)

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1104410430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 SANBORN RD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959936045",
            "telephone_number": "530-300-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 WILLIAMS WAY",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912400",
            "telephone_number": "530-751-4295",
            "fax_number": "530-749-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "MANJINDER",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F09200045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Ramos Figueroa
• Angel Ramos, DPT
• Ariana Ramos
• Aunjalee Randhawa
• Harpreet Randhawa, M.D.
• Manpreet Randhawa
• Rajdeep Kaur Randhawa, MFT
• Poonam Rani, DENTIST
• Archana Raj Rao, M.D.
• Katelynn Rapp

• Nurse Practitioner in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.