Active NPI
Randhawa Medical Doctors, Inc.
- Pediatric Allergy/Immunology Physician
- Long Beach, CA
National Provider Identifier
1336765619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Allergy/Immunology Physician
- Legal business name
- RANDHAWA MEDICAL DOCTORS, INC.
- Practice address
- 701 E 28TH St Ste 419
Long Beach, CA 90806-2775 - Phone
- (562) 490-9900
- NPI assigned
- Jun 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Clay
- Title
- Operations Manager
- Phone
- (562) 490-9900
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Pediatric Adolescent Medicine Physician | 2080A0000X | |||
| Pediatric Allergy/Immunology Physician | 2080P0201X | Primary |
Addresses
Primary practice location
701 E 28TH St Ste 419
Long Beach, CA 90806-2775
Mailing address
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 951-5110
Other practice location 1
2790 Atlantic Ave
Long Beach, CA 90806-2755
Phone (562) 490-9900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633478400000",
"number": "1336765619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "562-951-5110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E 28TH ST STE 419",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062775",
"telephone_number": "562-490-9900"
}
],
"practiceLocations": [
{
"address_1": "2790 Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908062755",
"country_code": "US",
"telephone_number": "562-490-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RANDHAWA MEDICAL DOCTORS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-22",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A",
"authorized_official_last_name": "CLAY",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "562-490-9900"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080P0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Allergy/Immunology",
"state": null,
"license": null,
"primary": true
}
],
"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 Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.