Individual provider Active NPI

Tejinder Pal Singh Ghuman, M.D.

  • Pediatrics Physician
  • Yuba City, CA
National Provider Identifier
1730110487
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A39001 Issued in CA
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

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
390011MedicaidCA

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
I20100723000685 CA Practitioner - Pediatric MedicinePractitioner - General Practice 5597897793 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39001CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare Pediatrics Current Accepting new patients
Peach Tree Healthcare CurrentSince Oct 14, 2018 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.