Individual provider Active NPI

Sandeep K Bhangoo, N.P

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1265716542
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP20494 Issued in CA
Practice address
5315 W Hillsdale Ave
Visalia, CA 93291-5118
Phone
(559) 732-9900
Fax
(559) 732-9909
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP20494 CA Primary

Addresses

Primary practice location

5315 W Hillsdale Ave
Visalia, CA 93291-5118

Mailing address

5315 W Hillsdale Ave
Visalia, CA 93291-5118
Phone (559) 732-9900

Other practice location 1

6327 N Fresno St Ste 101
Fresno, CA 93710-5236
Phone (559) 732-9900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140414002035 CA Practitioner - Nurse Practitioner 2668604273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Dermatology Alliance CaGroup PAC ID 4385983634, 7 clinicians

Practice addresses (Care Compare)

5530 W Avenida de Los Robles
Visalia, CA 93291-5174
Phone (559) 733-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20494CAMDSpeech-Language Pathologist
NP20494CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Seibert, D.C. a Professional Chiropractic Corporation CurrentSince Nov 1, 2017 Accepting new patients

Locations

1382 E Alluvial Ave
Ste 106
Fresno, CA 93720
Phone (559) 432-9700

Interoperability endpoints

  • Direct secure messaging: sandeep.bhangoo.p100@direct.aara1.nextgenshare.com

Organizations & group practices 2

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": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1265716542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 W HILLSDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915118",
            "telephone_number": "559-732-9900",
            "fax_number": "559-732-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 W HILLSDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915118",
            "telephone_number": "559-732-9900",
            "fax_number": "559-732-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6327 N Fresno St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105236",
            "country_code": "US",
            "telephone_number": "559-732-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHANGOO",
        "first_name": "SANDEEP",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP20494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.