Sandhu Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SANDHU SURGERY CENTER LLC

Practice address

41324 12TH St W Ste C
Palmdale, CA 93551-1467

Phone

(661) 945-0818

Fax

(661) 945-8095

NPI assigned

Feb 7, 2018

Last updated

Nov 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasbir S Sandhu, MDNPI 1396789970

Title

President

Phone

(661) 945-0818

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Sandhu Surgery Center LLCCCN 05C0002271

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jasbir Singh Sandhu, MEDICAL DOCTOR

  • Specialist
  • Palmdale, CA
  • NPI 1396789970
  NPD Authorized official
• Salar Hazany, MD

  • Dermatology Physician
  • Newbury Park, CA
  • NPI 1649582594
  NPD (past)
• Harika Kaur Sandhu, DO

  • Family Medicine Physician
  • Palmdale, CA
  • NPI 1770111403
  NPD (past)
• Edward Payson Daugherty, DO

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1043252505
  NPD (past)
• Barney A. McIntire, M.D.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1174560700
  NPD (past)
• Elizabeth P Owings, M.D.

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1306819545
  NPD (past)
• Aubrey Dennis Scott, M.D.

  • Family Medicine Physician
  • Pelham, AL
  • NPI 1982816724
  NPD (past)
• Tom Welch, MD

  • General Practice Physician
  • Hoover, AL
  • NPI 1750445458
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1699274464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6980",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935396980",
            "telephone_number": "661-945-0818",
            "fax_number": "661-945-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41324 12TH ST W STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511467",
            "telephone_number": "661-945-0818",
            "fax_number": "661-945-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHU SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SANDHU",
        "authorized_official_first_name": "JASBIR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-945-0818",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Cecilia Sanchez
• Violeta Sanchez
• Arianna Sanders
• Maureen Cheney Sanders, LCSW
• Michael Sanders
• Harika Kaur Sandhu, DO
• Jasbir Singh Sandhu, MEDICAL DOCTOR
• Viviana Sandoval Galvez
• Lisa Anita Sandoval
• Lisa Carol Sandoval, MS CCC-SLP

• Ambulatory Surgical Clinic/Center in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.