Individual provider Active NPI

Ajay Pal S Sandhu, M.D.

  • Radiation Oncology Physician
  • La Jolla, CA
National Provider Identifier
1881610137
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A69947 Issued in CA
Practice address
3855 Health Sciences Dr
Mail Code 0843
La Jolla, CA 92093-1503
Phone
(858) 822-6055
Fax
(858) 822-6081
NPI assigned
Jul 13, 2006
Last updated
Mar 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A69947 CA Primary

Addresses

Primary practice location

3855 Health Sciences Dr
Mail Code 0843
La Jolla, CA 92093-1503

Mailing address

3855 Health Sciences Dr
Mail Code 0843
La Jolla, CA 92093-1503
Phone (858) 822-6055

Other identifiers 1

IdentifierTypeStateIssuer
00A699470MedicaidCA

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
I20051017000938 CA Practitioner - Radiation Oncology 4981620150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-1911

3855 Health Sciences Dr
La Jolla, CA 92093-1503
Phone (800) 926-8273

447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000

9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69947CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proton Doctors Professional Corporation Radiation Oncology CurrentSince Dec 7, 2017 Accepting new patients
Regents of the University of California Radiation Oncology CurrentSince Aug 1, 2005 Accepting new patients
Scripps Health Current Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
University of Rochester Radiation Oncology Past Accepting new patients
Sentara Hospitals Past Accepting new patients
Regents of the University of California Past Accepting new patients
Sentara Hospitals Past Accepting new patients
University Radiation Oncology Associates Radiation Oncology Past Accepting new patients
Sentara Hospitals Past Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients

Locations

1200 Garden View Rd
Ste 210
Encinitas, CA 92024
Phone (858) 246-0500

1200 Garden View Rd
Encinitas, CA 92024
Phone (760) 536-7682

3855 Health Sciences Dr
La Jolla, CA 92093
Phone (858) 822-6094

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

3855 Health Sciences Dr
#843
La Jolla, CA 92093
Phone (858) 822-6040

9730 Summers Ridge Rd
San Diego, CA 92121
Phone (858) 549-7400

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

9730 Summers Ridge Rd
#100
San Diego, CA 92121
Phone (858) 549-7400

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: asandhu81563@scrippshlth.medalliesdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1881610137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 HEALTH SCIENCES DR",
            "address_2": "MAIL CODE 0843",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920931503",
            "telephone_number": "858-822-6055",
            "fax_number": "858-822-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 HEALTH SCIENCES DR",
            "address_2": "MAIL CODE 0843",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920931503",
            "telephone_number": "858-822-6055",
            "fax_number": "858-822-6081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "AJAY PAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A69947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A699470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.