Individual provider Active NPI

Ankur Sandhu, NP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1740989672
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024396 Issued in CA
Practice address
2639 N Lodi Ave
Fresno, CA 93722-8023
Phone
(559) 286-3560
NPI assigned
Feb 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024396 CA Primary

Addresses

Primary practice location

2639 N Lodi Ave
Fresno, CA 93722-8023

Mailing address

2639 N Lodi Ave
Fresno, CA 93722-8023
Phone (559) 286-3560

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712001228 CA Practitioner - Nurse Practitioner 2466997507 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California CurrentSince Oct 6, 2025 Accepting new patients
Todos Para la Salud CurrentSince May 14, 2024 Accepting new patients
Todos Para la Salud CurrentSince May 14, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 6, 2025 Accepting new patients

Locations

4420 N 1st St
Ste 123
Fresno, CA 93726
Phone (559) 231-5366

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Interoperability endpoints

  • Direct secure messaging: asandhu20573@direct-prd.molinahealthcare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCGBCD

Organizations & group practices 5

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": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1740989672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 N LODI AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228023",
            "telephone_number": "559-286-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 N LODI AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228023",
            "telephone_number": "559-286-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "ANKUR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.