Active NPI
Tejinder Pal Singh Ghuman, M.D.
- Pediatrics Physician
- Yuba City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A39001
- Practice address
- 1275 Tharp Rd
Yuba City, CA 95993-2645 - Phone
- (530) 749-3242
- Fax
- (530) 749-3248
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A39001 | CA | Primary |
Addresses
Primary practice location
1275 Tharp Rd
Yuba City, CA 95993-2645
Mailing address
1114 Yuba St RM 144
Marysville, CA 95901-4838
Phone (530) 749-3242
Other practice location 1
481 Plumas Blvd
Suite 101
Yuba City, CA 95991-5075
Phone (530) 674-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390011 | Medicaid | CA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39001 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach Tree Healthcare | Pediatrics | Current | Accepting new patients |
| Peach Tree Healthcare | Current | Accepting new patients | |
| Rideout Memorial Hospital | Past | Accepting new patients |
Locations
9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242
1114 Yuba St
Rm 144
Marysville, CA 95901
1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358
1275 Tharp Rd
Yuba City, CA 95993
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- tejinderpal.ghuman.p1@direct.peachtreehealth.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Marysville, CA
- NPI 1003863622
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1245043413
-
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1730110487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1114 YUBA ST RM 144",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959014838",
"telephone_number": "530-749-3242",
"fax_number": "530-749-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 THARP RD",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959932645",
"telephone_number": "530-749-3242",
"fax_number": "530-749-3248"
}
],
"practiceLocations": [
{
"address_1": "481 Plumas Blvd",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Yuba City",
"state": "CA",
"postal_code": "959915075",
"country_code": "US",
"telephone_number": "530-674-1400",
"fax_number": "530-674-1465",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHUMAN",
"first_name": "TEJINDER",
"middle_name": "PAL SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A39001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "390011",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.