Shabaz Sandhu, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

56373 Issued in CA

Practice address

498 W Bluff Ave
Fresno, CA 93711-6928

Phone

(559) 930-5823

NPI assigned

Aug 7, 2008

Last updated

Aug 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 30, 2025 through Dec 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shabaz Sandhu Oral Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Murrieta, CA
  • NPI 1235095209
  NPD Authorized official
• Mark L. Pledger, DDS, Inc.

  dba Oral Surgery Associates of Temecula Valley

  • Oral and Maxillofacial Pathology Dentistry
  • Murrieta, CA
  • NPI 1699863795
  NPD (past)

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1164688396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 W BLUFF AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116928",
            "telephone_number": "559-930-5823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 W BLUFF AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116928",
            "telephone_number": "559-930-5823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "SHABAZ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "56373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navneet Kaur Sandhu, MD
• Onkar Sandhu, MD
• Paramjit S Sandhu, D.D.S.
• Ramanpreet Kaur Sandhu, FNP-C
• Saeed M. Sandhu, MD
• Simarjit Sandhu
• Simmy Kaur Sandhu
• Sukhdaved Sandhu
• Surinder S Sandhu, MD
• Susana Sandhu

• Oral and Maxillofacial Surgery (Dentist) in Fresno, CA
• Providers in Fresno, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.