Active NPI
Gagandeep Randhawa
- Psychiatry Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A144708
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144708 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Tulare | Current | Accepting new patients | |
| Precision Psychiatric Services Inc | Current | Accepting new patients | |
| County of Tulare | Current | Accepting new patients | |
| County of Tulare | Current | Accepting new patients | |
| Infusion and Clinical Services, Inc. | Psychiatry | Past | 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.
-
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1407304678
-
- Neurology Physician
- San Jose, CA
- NPI 1174094064
-
- Community/Behavioral Health Agency
- Porterville, CA
- NPI 1518418581
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Visalia, CA
- NPI 1770529752
-
- Primary Care Clinic/Center
- Bakersfield, CA
- NPI 1083952857
Psychiatry
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.