Individual provider Active NPI

Harika Kaur Sandhu, DO

  • Family Medicine Physician
  • Palmdale, CA
National Provider Identifier
1770111403
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20868 Issued in CA
Practice address
41324 12TH St W
Palmdale, CA 93551-1466
Phone
(661) 945-0818
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A20868 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

41324 12TH St W
Palmdale, CA 93551-1466

Mailing address

41324 12TH St W
Palmdale, CA 93551-1466

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
I20230824001498 CA Practitioner - Family Practice 6103289160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasbir S Sandhu M D IncGroup PAC ID 5395056733, 2 clinicians

Practice addresses (Care Compare)

41324 12TH St W
Suite B
Palmdale, CA 93551-1467
Phone 6619450818103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1094
Removal or shaving of skin growth803
Skin biopsy501

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20868CAMDClinical Social Worker
20A20868CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jasbir S Sandhu M D Inc CurrentSince Jul 4, 2023 Accepting new patients
Sandhu Surgery Center LLC PastSince Jan 28, 2024 Accepting new patients

Locations

41324 12th St W
Ste B
Palmdale, CA 93551
Phone 6619450818103

41324 12th St W
Palmdale, CA 93551

Interoperability endpoints

  • Direct secure messaging: hsandhu@sandhudermatology.emadirect.md

Organizations & group practices 2

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1770111403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41324 12TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41324 12TH ST W",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511466",
            "telephone_number": "661-945-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "HARIKA",
        "middle_name": "KAUR",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20868",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.