Individual provider Active NPI

Kamaljeet K Randhawa, RN

  • Psychiatric/Mental Health Registered Nurse
  • Fresno, CA
National Provider Identifier
1346910106
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
95180332 Issued in CA
Practice address
3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229
Phone
(559) 558-4051
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95180332 CA Primary

Addresses

Primary practice location

3433 W Shaw Ave Ste 108
Fresno, CA 93711-3229

Mailing address

2151 College Ave
Bakersfield, CA 93305-4113
Phone (661) 868-8037

Other practice location 1

2151 College Ave
Bakersfield, CA 93305-4113
Phone (661) 868-8037

Other practice location 2

702 Workman St
Bakersfield, CA 93307-6800
Phone (559) 558-4059

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krandhawa@kernbhrs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95180332CAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1346910106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 COLLEGE AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054113",
            "telephone_number": "661-868-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 W SHAW AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113229",
            "telephone_number": "559-558-4051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 College Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933054113",
            "country_code": "US",
            "telephone_number": "661-868-8037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 Workman St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933076800",
            "country_code": "US",
            "telephone_number": "559-558-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "KAMALJEET",
        "middle_name": "K",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95180332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krandhawa@kernbhrs.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2151 College Ave",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933054113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.