Karan Randhawa, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

107730 Issued in CA

Practice address

3779 E Castro Valley Blvd
Castro Valley, CA 94552-4835

Phone

(510) 581-0500

NPI assigned

Aug 6, 2022

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Carolyn Ghazal and Dean Lambridis Dental Corporation

  dba Castro Valley Smiles Dentistry

  • General Practice Dentistry
  • Castro Valley, CA
  • NPI 1336586411
  NPD (past)

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659744000000",
    "number": "1316674567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 DETERT ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945502515",
            "telephone_number": "408-464-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3779 E CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945524835",
            "telephone_number": "510-581-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "KARAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "107730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter Raguindin, RN
• Rahel Teferi Ruiz MD, Inc.
• Sinnakaman S Rajaram, MD
• Debora Deisy Ramirez
• Jeffrey Blaine Randall, MD
• Kirat Randhawa, DDS
• Joanna Randolph, RN, MS, ANP
• Vineetha Rangarajan, DO
• Moyra N Rasheed, M.B.B.S
• Manizha Farhat Rasoli

• General Practice Dentistry in Castro Valley, CA
• Providers in Castro Valley, 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 Aug 6, 2022; 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.