Active NPI
Amandip Singh Badhesha
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Fresno, CA
National Provider Identifier
1629352422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 61301
- Practice address
- 4771 W Ashlan Ave
Fresno, CA 93722-4307 - Phone
- (559) 274-0559
- Fax
- (559) 274-0565
- NPI assigned
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61301 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 61301 | CA | Primary |
Addresses
Primary practice location
4771 W Ashlan Ave
Fresno, CA 93722-4307
Mailing address
4771 W Ashlan Ave
Fresno, CA 93722-4307
Phone (559) 274-0559
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61301 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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": "1317168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1629352422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4771 W ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937224307",
"telephone_number": "559-274-0559",
"fax_number": "559-274-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4771 W ASHLAN AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937224307",
"telephone_number": "559-274-0559",
"fax_number": "559-274-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADHESHA",
"first_name": "AMANDIP",
"middle_name": "SINGH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-28",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61301",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "61301",
"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 Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.