NPIMap

Individual provider Active NPI

Tejinder Singh Randhawa, M.D.

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1588720916
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A53378 Issued in CA
Practice address
805 Fresno St
Fresno, CA 93706-3118
Phone
(559) 455-1500
Fax
(559) 253-1302
NPI assigned
Dec 29, 2006
Last updated
Jul 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A53378 CA
Pediatrics Physician 208000000X A53378 CA Primary

Addresses

Primary practice location

805 Fresno St
Fresno, CA 93706-3118

Mailing address

PO Box 25578
Fresno, CA 93729-5578
Phone (559) 455-1500

Other identifiers 3

IdentifierTypeStateIssuer
A53378OtherCAMEDICAL BOARD LICENSE
00A533780OtherCAMEDI-CAL PROVIDER NUMBER
00A533781OtherCAMEDI-CAL PROVIDER NUMBER

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53378CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tejinder S. Randhawa M.D., a Professional Corporation Pediatrics Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Tejinder S Randhawa MD Inc Pediatrics Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: randhawa.tejinder.001.0050307@cmcf.meditab.direct-ci.com

Organizations & group practices 7

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1588720916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25578",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295578",
            "telephone_number": "559-455-1500",
            "fax_number": "559-253-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063118",
            "telephone_number": "559-455-1500",
            "fax_number": "559-253-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "TEJINDER",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A53378",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD LICENSE",
            "identifier": "A53378",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "00A533780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "00A533781",
            "state": "CA"
        }
    ],
    "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 Jul 23, 2009; 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.