Active NPI
Kamal Singh Sandhu
- Student in an Organized Health Care Education/Training Program
- Visalia, CA
National Provider Identifier
1366292971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 15690
- Practice address
- 400 W Mineral King Ave
Visalia, CA 93291-6237 - Phone
- (559) 624-2000
- NPI assigned
- Mar 26, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 15690 | CA | Primary |
| Psychiatry Physician | 2084P0800X | 15690 | CA |
Addresses
Primary practice location
400 W Mineral King Ave
Visalia, CA 93291-6237
Mailing address
2072 Providence Way
Lodi, CA 95242-4756
Phone (209) 747-2365
Other practice location 1
3115 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-2382
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15690 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1366292971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2072 PROVIDENCE WAY",
"city": "LODI",
"state": "CA",
"postal_code": "952424756",
"telephone_number": "209-747-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MINERAL KING AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916237",
"telephone_number": "559-624-2000"
}
],
"practiceLocations": [
{
"address_1": "3115 N Millbrook Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937031425",
"country_code": "US",
"telephone_number": "559-600-2382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDHU",
"first_name": "KAMAL",
"middle_name": "SINGH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-26",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "15690",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "15690",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.