Individual provider Active NPI

Basant Singh Sandhu, M.D

  • Family Medicine Physician
  • Hemet, CA
National Provider Identifier
1265795744
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A140398 Issued in CA
Practice address
903 E Devonshire Ave
Ste D
Hemet, CA 92543-3000
Phone
(951) 216-6100
Fax
(951) 765-3075
NPI assigned
Jun 20, 2012
Last updated
May 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09742800 NJ
Family Medicine Physician 207Q00000X A140398 CA Primary

Addresses

Primary practice location

903 E Devonshire Ave
Ste D
Hemet, CA 92543-3000

Mailing address

425 N Date St
Escondido, CA 92025-3413

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
I20161130002501 CA Practitioner - Family Practice 3476862483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood HealthcareGroup PAC ID 5294649406, 153 clinicians

Practice addresses (Care Compare)

1030 E Florida Ave
Hemet, CA 92543-4511
Phone (833) 867-4642

26926 Cherry Hills Blvd
Menifee, CA 92586-2500

308 W 6TH St
Suite 109
Corona, CA 92882-3349
Phone (833) 867-4642

41840 Enterprise Cir N
Temecula, CA 92590-5654
Phone (951) 225-6400

4371 Latham St
Riverside, CA 92501-1706
Phone (833) 867-4642

460 N Elm St
Escondido, CA 92025-3002
Phone (760) 520-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140398CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare General Practice CurrentSince Nov 1, 2016 Accepting new patients
Neighborhood Healthcare General Practice CurrentSince Nov 1, 2016 Accepting new patients

Locations

855 E Madison Ave
El Cajon, CA 92020
Phone (619) 440-2751

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

425 N Date St
#0
Escondido, CA 92025

460 N Elm St
Escondido, CA 92025
Phone (760) 520-8100

1030 E Florida Ave
Hemet, CA 92543
Phone (951) 216-6100

903 E Devonshire Ave
Ste D
Hemet, CA 92543
Phone (951) 216-6100

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1265795744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 E DEVONSHIRE AVE",
            "address_2": "STE D",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433000",
            "telephone_number": "951-216-6100",
            "fax_number": "951-765-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "BASANT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-20",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09742800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A140398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.