Active NPI
Prabhdeep Sandhu, MD
- Cardiovascular Disease Physician
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C54945
- Practice address
- 191 S Buena Vista St
Ste 400
Burbank, CA 91505-4554 - Phone
- (818) 848-0023
- Fax
- (818) 848-3495
- NPI assigned
- Sep 13, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C54945 | CA | Primary |
| Interventional Cardiology Physician | 207RI0011X | C54945 | CA |
Addresses
Primary practice location
191 S Buena Vista St
Ste 400
Burbank, CA 91505-4554
Mailing address
191 S Buena Vista St
Ste 400
Burbank, CA 91505-4554
Phone (818) 848-0023
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Laguna Niguel, CA 92677
201 S Buena Vista St
Suite 100
Burbank, CA 91505-4570
Phone (818) 848-6404
21501 Avalon Blvd
Suite 100
Carson, CA 90745-2210
Phone (310) 835-6627
501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-3022
Hospital & facility affiliations
- Providence Saint Joseph Medical Ctr
- Cedars-Sinai Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54945 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Current | Accepting new patients | |
| Providence Medical Institute | Current | Accepting new patients | |
| Providence Medical Institute | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| University Hospital of Brooklyn Suny Downstate Health Sciences Univers | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Trustees Columbia University City Ny Center Interventional Vascular TH | Interventional Cardiology | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671
191 S Buena Vista St
Ste 150
Burbank, CA 91505
Phone (818) 295-5920
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
191 S Buena Vista St
Ste 400
Burbank, CA 91505
Phone (818) 818-0023
201 S Buena Vista St
Ste 100
Burbank, CA 91505
Phone (818) 848-6404
21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627
18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- prabhdeep.sandhu.p1@direct.lakeside.nextgenshare.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1417915760
-
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
-
- Family Medicine Physician
- Torrance, CA
- NPI 1760425862
-
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
-
- Interventional Cardiology Physician
- New York, NY
- NPI 1174556823
-
- Rehabilitation Hospital Unit
- Brooklyn, NY
- NPI 1285693275
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341532800000",
"number": "1679568901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST",
"address_2": "STE 400",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054554",
"telephone_number": "818-848-0023",
"fax_number": "818-848-3495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST",
"address_2": "STE 400",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054554",
"telephone_number": "818-848-0023",
"fax_number": "818-848-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "PRABHDEEP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-13",
"last_updated": "2012-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "C54945",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "C54945",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.