Active NPI
Inderpal Singh Randhawa, M.D.
- Allergy & Immunology Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- A80644
- Practice address
- 2801 Atlantic Ave
Ground Floor- Pediatric Pulmonary Division
Long Beach, CA 90806-1701 - Phone
- (562) 933-8749
- NPI assigned
- Oct 11, 2006
- Last updated
- Sep 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | A80644 | CA | Primary |
| Pediatric Pulmonology Physician | 2080P0214X | A80644 | CA | |
| Pulmonary Disease Physician | 207RP1001X | A80644 | CA | |
| Internal Medicine Physician | 207R00000X | A80644 | CA | |
| Pediatrics Physician | 208000000X | A80644 | CA |
Addresses
Primary practice location
2801 Atlantic Ave
Ground Floor- Pediatric Pulmonary Division
Long Beach, CA 90806-1701
Mailing address
2801 Atlantic Ave
Ground Floor- Pediatric Pulmonary Division
Long Beach, CA 90806-1701
Phone (562) 933-8749
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A80644 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tpirc Medical Foundation Inc | Allergy & Immunology | Current | Accepting new patients |
| Lung & Allergy Health Associates PMC | Pediatric Pulmonology | Current | Accepting new patients |
| Douglas J. Roger M.D.,Inc., a Professional Corporation | Past | Accepting new patients | |
| Tpirc Medical Foundation Inc | Past | Accepting new patients | |
| Tpirc Medical Foundation Inc | Past | Accepting new patients | |
| Tpirc Medical Foundation Inc | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Jason R Koh DO Inc | Past | Accepting new patients | |
| Pediatric Pulmonary Associates Inc | Pediatric Pulmonology | Past | Accepting new patients |
| Desert Vip Urgent Care | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Tpirc Medical Foundation Inc | Past | Accepting new patients | |
| Tpirc Medical Foundation Inc | Past | Accepting new patients | |
| Torrance Memorial Medical Center | Past | Accepting new patients |
Locations
9940 Talbert Ave
Ste 200
Fountain Valley, CA 92708
Phone (562) 684-8096
2191 Mowry Ave
Ste 600B
Fremont, CA 94538
Phone (560) 490-9900
2701 Atlantic Ave
Long Beach, CA 90806
Phone (562) 684-8096
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
2801 Atlantic Ave
Fl 3
Long Beach, CA 90806
Phone (562) 933-8743
2801 Atlantic Ave
Fl Pediatric
Long Beach, CA 90806
Phone (562) 933-8749
2801 Atlantic Ave
Fl Specialty
Long Beach, CA 90806
Phone (562) 933-8749
701 E 28th St
Ste 418
Long Beach, CA 90806
Phone (562) 684-8096
701 E 28th St
Ste 419
Long Beach, CA 90806
Phone (562) 353-5907
2704 E Willow St
Signal Hill, CA 90755
Phone (562) 595-0203
3640 Lomita Blvd
Ste 102
Torrance, CA 90505
Phone (310) 378-8232
2067 W Vista Way
Ste 250
Vista, CA 92083
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/11920/brand/1/csg/1/fhir/r4
- irandhawamd17885@direct.memorialcare.org
Organizations & group practices 14
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.
-
- Pediatric Pulmonology Physician
- Long Beach, CA
- NPI 1972126662
-
- Pediatric Allergy/Immunology Physician
- Long Beach, CA
- NPI 1225611312
Allergy & Immunology
-
- Urgent Care Clinic/Center
- Palm Desert, CA
- NPI 1467584425
-
dba Orthopedic Institute of Coachella Valley
- Specialist
- Palm Springs, CA
- NPI 1003959677
-
- Physical Medicine & Rehabilitation Physician
- Long Beach, CA
- NPI 1447566799
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
dba Miller Children's Hospital
- Children's Hospital
- Long Beach, CA
- NPI 1477596583
-
- Pediatric Pulmonology Physician
- Long Beach, CA
- NPI 1457456337
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
-
- Pediatric Allergy/Immunology Physician
- Long Beach, CA
- NPI 1013646439
-
- Pediatric Allergy/Immunology Physician
- Signal Hill, CA
- NPI 1053040188
-
- Pediatric Allergy/Immunology Physician
- Vista, CA
- NPI 1255060455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285200000000",
"number": "1316035363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVE",
"address_2": "GROUND FLOOR- PEDIATRIC PULMONARY DIVISION",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "562-933-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVE",
"address_2": "GROUND FLOOR- PEDIATRIC PULMONARY DIVISION",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "562-933-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDHAWA",
"first_name": "INDERPAL",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2010-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "A80644",
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CA",
"license": "A80644",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A80644",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A80644",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A80644",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.