Individual provider Active NPI

Jasbir Singh Sandhu, MEDICAL DOCTOR

  • Specialist
  • Palmdale, CA
National Provider Identifier
1396789970
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G32658 Issued in CA
Practice address
41324 12TH St W
209
Palmdale, CA 93551-1466
Phone
(661) 945-0818
Fax
(661) 945-8095
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G32658 CA Primary

Addresses

Primary practice location

41324 12TH St W
209
Palmdale, CA 93551-1466

Mailing address

PO Box 6980
Lancaster, CA 93539-6980
Phone (661) 945-0818

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
I20100222000706 CA Practitioner - Dermatology 7618011107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Nebraska College of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasbir S Sandhu M D IncGroup PAC ID 5395056733, 2 clinicians

Practice addresses (Care Compare)

41324 12TH St W
Palmdale, CA 93551-1466

41324 12TH St W
Suite B
Palmdale, CA 93551-1467
Phone 6619450818103

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision162
Removal of tissue1-10
Removal of skin lesions464
Removal of skin cancer346
Removal or shaving of skin growth397
Skin biopsy330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32658CAMDChiropractor
G32658CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jasbir S Sandhu M D Inc Specialist CurrentSince Jul 1, 2015 Accepting new patients
Sandhu Surgery Center LLC CurrentSince Mar 7, 2017 Accepting new patients

Locations

44215 15th St W
Ste 209
Lancaster, CA 93534
Phone (661) 522-4567

41324 12th St W
Palmdale, CA 93551

41324 12th St W
#209
Palmdale, CA 93551

41324 12th St W
Ste C
Palmdale, CA 93551

41324 12th St W
Ste B
Palmdale, CA 93551
Phone 6619450818103

301 W Drummond Ave
Ridgecrest, CA 93555
Phone (661) 945-2299

900 N Heritage Dr
Ste B
Ridgecrest, CA 93555
Phone (661) 529-7550

20111 W Valley Blvd
Tehachapi, CA 93561
Phone (661) 238-0600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1396789970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6980",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935396980",
            "telephone_number": "661-945-0818",
            "fax_number": "661-945-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41324 12TH ST W",
            "address_2": "209",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511466",
            "telephone_number": "661-945-0818",
            "fax_number": "661-945-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "JASBIR",
        "middle_name": "SINGH",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G32658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.