Gurjit Randhawa Dental Practice Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GURJIT RANDHAWA DENTAL PRACTICE INC

Doing business as

San Ramon valley Dental

Practice address

2420 San Ramon Valley Blvd
San Ramon, CA 94583-1602

Phone

(925) 820-6541

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By 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

Dr. Gurjit S Randhawa, DDS, DMDNPI 1265640379

Title

President

Phone

(510) 220-0415

Specialties & licenses 1

Addresses

Other names 1

• San Ramon valley Dental Doing business as

Locations

Practitioners 2

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.

• Gurjit Singh Randhawa, D.D.S., M.D.S.

  • Dentist
  • Alameda, CA
  • NPI 1265640379
  NPD Authorized official
• Paul Fillet, D.M.D.

  • General Practice Dentistry
  • San Ramon, CA
  • NPI 1063533271
  NPD (past)

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1881284305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SAN RAMON VALLEY BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831602",
            "telephone_number": "925-820-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 SAN RAMON VALLEY BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831602",
            "telephone_number": "925-820-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURJIT RANDHAWA DENTAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "GURJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-220-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Ramon valley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Guo
• Xiayu Guo
• Preeti Gupta
• Tanya Jain Gupta, MD, MS
• Tanvi Gurazada, NP
• Emily Gutierrez-Garcia
• Karina Gutierrez
• Samuel Brian Gutierrez
• Susan E Gutierrez, MD
• Yasmin Gutierrez

• Dental Clinic/Center in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.