Organization Active NPI

Jagsir S.Sandhu M.D.Inc

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1427176726
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A69122 Issued in CA
Legal business name
JAGSIR S.SANDHU M.D.INC
Practice address
1383 E Herndon Ave
Suite # 105
Fresno, CA 93720-3302
Phone
(559) 999-8012
Fax
(559) 449-8037
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jagsir S Sandhu, M.D.
Title
Owner
Phone
(559) 999-8012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A69122 CA Primary

Addresses

Primary practice location

1383 E Herndon Ave
Suite # 105
Fresno, CA 93720-3302

Mailing address

1383 E Herndon Ave
Suite # 105
Fresno, CA 93720-3302
Phone (559) 999-8012

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427176726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 E HERNDON AVE",
            "address_2": "SUITE # 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203302",
            "telephone_number": "559-999-8012",
            "fax_number": "559-449-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 E HERNDON AVE",
            "address_2": "SUITE # 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203302",
            "telephone_number": "559-999-8012",
            "fax_number": "559-449-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGSIR S.SANDHU M.D.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "JAGSIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-999-8012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 22, 2020; 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.