Active NPI
Birenderpal Singh Sandhu, D.D.S
- Dentist
- El Sobrante, CA
National Provider Identifier
1891968038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37736
- Practice address
- 3380A San Pablo Dam Rd
El Sobrante, CA 94803-7202 - Phone
- (510) 262-0611
- Fax
- (510) 262-0679
- NPI assigned
- Apr 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37736 | CA | Primary |
Addresses
Primary practice location
3380A San Pablo Dam Rd
El Sobrante, CA 94803-7202
Mailing address
3380 A Sanpablo Dam Rd
Sanpablo, CA 94803-7202
Phone (510) 262-0611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37736 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1891968038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3380 A SANPABLO DAM RD",
"city": "SANPABLO",
"state": "CA",
"postal_code": "948037202",
"telephone_number": "510-262-0611",
"fax_number": "510-262-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380A SAN PABLO DAM RD",
"city": "EL SOBRANTE",
"state": "CA",
"postal_code": "948037202",
"telephone_number": "510-262-0611",
"fax_number": "510-262-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "BIRENDERPAL",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "37736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Sobrante, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.