Active NPI
Gurjit Singh Randhawa, D.D.S., M.D.S.
- Dentist
- Alameda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 46941
- Practice address
- 2229 Santa Clara Ave Ste E
Alameda, CA 94501-4409 - Phone
- (510) 521-3300
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 46941 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 46941 | CA |
Addresses
Primary practice location
2229 Santa Clara Ave Ste E
Alameda, CA 94501-4409
Mailing address
2229 Santa Clara Ave Ste E
Alameda, CA 94501-4409
Phone (510) 521-3300
Other practice location 1
5901 Christie Ave Ste 106
Emeryville, CA 94608-1952
Phone (510) 658-9775
Other practice location 2
41 Admiral Callaghan Ln Ste E
Vallejo, CA 94591-4000
Phone (707) 552-3816
Other practice location 3
3435 Chestnut Ave
Concord, CA 94519-2415
Phone (925) 685-8994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46941 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gurjit Randhawa Dental Practice Inc | Current | Accepting new patients | |
| Gurjit S Randhwa DDS, Inc. | Current | Accepting new patients | |
| G.S. Randhawa D.D.S., Inc. | General Practice | Current | Accepting new patients |
| Gurjit Randhawa Dental, Inc. | Current | Accepting new patients | |
| Vincent Lim, DDS, Inc | Dentist | Past | Accepting new patients |
Locations
2229 Santa Clara Ave
Ste E
Alameda, CA 94501
Phone (510) 521-3300
5901 Christie Ave
Ste 106
Emeryville, CA 94608
Phone (509) 626-9900
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.
-
- General Practice Dentistry
- Emeryville, CA
- NPI 1003446642
-
- Dental Clinic/Center
- San Ramon, CA
- NPI 1881284305
-
- Dental Clinic/Center
- Pinole, CA
- NPI 1346832979
-
- Dental Clinic/Center
- Alameda, CA
- NPI 1306594312
-
- Dentist
- Vallejo, CA
- NPI 1588870695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1265640379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 SANTA CLARA AVE STE E",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014409",
"telephone_number": "510-521-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 SANTA CLARA AVE STE E",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014409",
"telephone_number": "510-521-3300"
}
],
"practiceLocations": [
{
"address_1": "5901 Christie Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Emeryville",
"state": "CA",
"postal_code": "946081952",
"country_code": "US",
"telephone_number": "510-658-9775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "41 Admiral Callaghan Ln Ste E",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945914000",
"country_code": "US",
"telephone_number": "707-552-3816",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3435 Chestnut Ave",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945192415",
"country_code": "US",
"telephone_number": "925-685-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDHAWA",
"first_name": "GURJIT",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "46941",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46941",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.