Individual provider Active NPI

Gagandeep Randhawa

  • Psychiatry Physician
  • Visalia, CA
National Provider Identifier
1154736742
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A144708 Issued in CA
Practice address
1100 S Akers St
Visalia, CA 93277-8311
Phone
(559) 624-3300
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A144708 CA Primary

Addresses

Primary practice location

1100 S Akers St
Visalia, CA 93277-8311

Mailing address

7850 White LN Ste E301
Bakersfield, CA 93309-7698

Other practice location 1

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607001423 CA Practitioner - Psychiatry 1951634831 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A144708CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare CurrentSince May 18, 2022 Accepting new patients
Precision Psychiatric Services Inc CurrentSince May 1, 2019 Accepting new patients
County of Tulare CurrentSince May 18, 2022 Accepting new patients
County of Tulare Current Accepting new patients
Infusion and Clinical Services, Inc. Psychiatry PastSince Jul 28, 2019 Accepting new patients

Locations

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

7850 White Ln
Ste E301
Bakersfield, CA 93309

7850 White Ln
#E301
Bakersfield, CA 93309

1055 W Henderson Ave
Porterville, CA 93257
Phone (559) 788-1200

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

1100 S Akers St
Visalia, CA 93277
Phone (559) 509-0846

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

520 E Tulare Ave
Visalia, CA 93292

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1154736742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 WHITE LN STE E301",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "telephone_number": "559-624-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Mineral King Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932916237",
            "country_code": "US",
            "telephone_number": "559-624-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "GAGANDEEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A144708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.