NPIMap

Organization Active NPI

Tejinder S Randhawa MD Inc

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1609970870
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A53378 Issued in CA
Legal business name
TEJINDER S RANDHAWA MD INC
Practice address
5043 E Kings Canyon Rd Ste 101
Fresno, CA 93727-3962
Phone
(559) 455-1500
Fax
(559) 253-1302
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Dr. Tejinder Singh Randhawa, MD
Title
Physician/Owner
Phone
(559) 455-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A53378 CA Primary

Addresses

Primary practice location

5043 E Kings Canyon Rd Ste 101
Fresno, CA 93727-3962

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
A53378OtherCAMEDICAL LICENSE
GR0104701MedicaidCA

Other names 1

  • CHILDRENS MEDICAL CENTERS OF FRESNO Doing business as

National Provider Directory

National Provider Directory

Locations

5043 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 455-1500

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1609970870",
    "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": "5043 E KINGS CANYON RD STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273962",
            "telephone_number": "559-455-1500",
            "fax_number": "559-253-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEJINDER S RANDHAWA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "TEJINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "559-455-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A53378",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILDRENS MEDICAL CENTERS OF FRESNO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2011; 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.