Individual provider Active NPI

Justin Singh Sandhu, DO

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1528645942
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A24017 Issued in CA
Practice address
359 San Miguel Dr Ste 210
Newport Beach, CA 92660-7808
Phone
(949) 642-7757
NPI assigned
Mar 24, 2021
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A24017 CA Primary

Addresses

Primary practice location

359 San Miguel Dr Ste 210
Newport Beach, CA 92660-7808

Mailing address

359 San Miguel Dr Ste 210
Newport Beach, CA 92660-7808
Phone (949) 642-7757

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
I20250910000328 CA Practitioner - Internal Medicine 0042612160 Practice locations: Newport Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friends of Family Health CenterGroup PAC ID 7315120730, shared by 5 NPIs, 11 clinicians

Practice addresses (Care Compare)

13152 Newport Ave
Tustin, CA 92780-3469
Phone (714) 263-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A24017CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Associates, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Friends of Family Health Center Internal Medicine Past Accepting new patients
Friends of Family Health Center Past Accepting new patients

Locations

359 San Miguel Dr
Ste 210
Newport Beach, CA 92660
Phone (949) 642-7757

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: justin.sandhu@hca3.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1528645942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 SAN MIGUEL DR STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607808",
            "telephone_number": "949-642-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 SAN MIGUEL DR STE 210",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607808",
            "telephone_number": "949-642-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "JUSTIN",
        "middle_name": "SINGH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A24017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.