Individual provider Active NPI

Tarundeep Singh Grewal, MD

  • Vascular & Interventional Radiology Physician
  • Manteca, CA
National Provider Identifier
1669964938
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A194901 Issued in CA
Practice address
250 Cherry LN Ste 116
Manteca, CA 95337-4398
Phone
(209) 647-2184
NPI assigned
Jun 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 73891 MN
Vascular & Interventional Radiology Physician 2085R0204X A194901 CA Primary

Addresses

Primary practice location

250 Cherry LN Ste 116
Manteca, CA 95337-4398

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

1 Brookdale Plz
Brooklyn, NY 11212-3139
Phone (718) 240-6347

Other practice location 2

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

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
I20240724001932 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3779943592 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians
Central Valley Imaging Medical Associates IncGroup PAC ID 8628064953, 87 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians
Lodi Memorial Hospital Association IncGroup PAC ID 7618880717, 73 clinicians

Practice addresses (Care Compare)

1031 S Fairmont Ave
Lodi, CA 95240-5112
Phone (209) 334-8580

1420 N Tracy Blvd
Tracy, CA 95376-3451
Phone (209) 647-2184

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6000

729 Pauline Court
Sonora, CA 95370
Phone (209) 588-8068

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557
  • Adventist Health Lodi Memorial Hospital, Lodi, CA, CCN 050336
  • San Joaquin General Hospital Hospital, French Camp, CA, CCN 050167
  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194901CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. CurrentSince Apr 16, 2026 Accepting new patients
County of Santa Clara Current Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Jun 1, 2025 Accepting new patients
Delta Radiology, Inc. Current Accepting new patients
County of Santa Clara CurrentSince Oct 24, 2024 Accepting new patients
Delta Radiology, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
County of San Joaquin CurrentSince Jun 4, 2024 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Jun 4, 2024 Accepting new patients
County of Santa Clara CurrentSince Oct 24, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
County of San Joaquin CurrentSince Jun 4, 2024 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Central Valley Imaging Medical Associates, Inc CurrentSince Aug 1, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Jun 1, 2025 Accepting new patients
Pleasanton Diagnostic Imaging, Inc. CurrentSince Apr 16, 2026 Accepting new patients
County of Santa Clara CurrentSince Oct 24, 2024 Accepting new patients
County of Santa Clara CurrentSince Oct 24, 2024 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

1031 S Fairmont Ave
Lodi, CA 95240
Phone (209) 333-7422

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

250 Cherry Ln
Ste 116
Manteca, CA 95337
Phone (209) 647-4684

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1420 N Tracy Blvd
Tracy, CA 95376
Phone (209) 832-6018

Interoperability endpoints

  • Direct secure messaging: tgrewal691177@hisp.ehr.sutterhealth.org
  • Direct secure messaging: tgrewal208509@santaclaravalley.direct-ci.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1669964938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHERRY LN STE 116",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374398",
            "telephone_number": "209-647-2184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Brookdale Plz",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123139",
            "country_code": "US",
            "telephone_number": "718-240-6347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "TARUNDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-03",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "73891",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A194901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.