Organization Active NPI

Gurjit S Randhwa DDS, Inc.

  • Dental Clinic/Center
  • Alameda, CA
National Provider Identifier
1306594312
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GURJIT S RANDHWA DDS, INC.
Practice address
2229 Santa Clara Ave Ste E
Alameda, CA 94501-4409
Phone
(510) 521-3300
Fax
(510) 521-3301
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Gurjit Randhawa, DDS,DMDNPI 1265640379
Title
President
Phone
(510) 220-0415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

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

National Provider Directory

National Provider Directory

Locations

2229 Santa Clara Ave
Ste E
Alameda, CA 94501
Phone (510) 521-3300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1306594312",
    "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",
            "fax_number": "510-521-3301"
        },
        {
            "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",
            "fax_number": "510-521-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURJIT S RANDHWA DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "GURJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-220-0415",
        "authorized_official_credential": "DDS,DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.