Individual provider Active NPI

Inderpal Singh Randhawa, M.D.

  • Allergy & Immunology Physician
  • Long Beach, CA
National Provider Identifier
1316035363
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A80644 Issued in CA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617000724 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2961486782 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80644CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tpirc Medical Foundation Inc Allergy & Immunology CurrentSince Feb 2, 2022 Accepting new patients
Lung & Allergy Health Associates PMC Pediatric Pulmonology CurrentSince Jan 10, 2020 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 PastSince May 18, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/11920/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.