Kushwantjit Singh Randhawa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62168 Issued in CA

Practice address

300 Hillary Way Apt 91
Vallejo, CA 94591

Phone

(707) 563-7881

NPI assigned

Feb 5, 2013

Sex

Male

Sole proprietor

No

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1285973602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HILLARY WAY APT 91",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94591",
            "telephone_number": "707-563-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLARY WAY APT 91",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94591",
            "telephone_number": "707-563-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "KUSHWANTJIT",
        "middle_name": "SINGH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ramos, MA
• Rachelle Ramos, PT, DPT
• Wilton Keith Ramos, OTR/L
• Sarita Rene Ramot, COUNSELOR
• William Joseph Ramsdal
• Dyane L Randle, IMF
• Margaret L Randle, M.S. CCC-SLP
• Kalpana Sathyanarayana Rao, M.D.
• Christopher Rapacon
• Rita Rae Rapacon

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.