Active NPI
Inderjit Kaur Dhillon, M.D.
- Pediatrics Physician
- Fresno, CA
National Provider Identifier
1285791806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A38371
- Practice address
- 5043 E. Kings Canyon #101
Fresno, CA 93721-3962 - Phone
- (559) 455-1500
- Fax
- (559) 253-1302
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A38371 | CA | Primary |
Addresses
Primary practice location
5043 E. Kings Canyon #101
Fresno, CA 93721-3962
Mailing address
5043 E. Kings Canyon #101
Fresno, CA 93721-3962
Phone (559) 455-1500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A38371 | Other | CA | MEDICAL LICENSE # |
| 00A383711 | Other | CA | MEDI-CAL PROVIDER # |
| 00A383710 | Other | CA | MEDI-CAL PROVIDER # |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38371 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tejinder S Randhawa MD Inc | Pediatrics | Past | Accepting new patients |
| Tejinder S Randhawa MD Inc | Pediatrics | Past | Accepting new patients |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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 Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Pediatrics Physician
- Fresno, CA
- NPI 1588773667
-
- Pediatrics Physician
- Fresno, CA
- NPI 1609970870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189382400000",
"number": "1285791806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5043 E. KINGS CANYON #101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937213962",
"telephone_number": "559-455-1500",
"fax_number": "559-253-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5043 E. KINGS CANYON #101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937213962",
"telephone_number": "559-455-1500",
"fax_number": "559-253-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHILLON",
"first_name": "INDERJIT",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A38371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE #",
"identifier": "A38371",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER #",
"identifier": "00A383711",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER #",
"identifier": "00A383710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.