Sarbjit Singh Hundal

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A34847 Issued in CA

Legal business name

SARBJIT SINGH HUNDAL

Practice address

39263 Mission Blvd
Fremont, CA 94539-3037

Phone

(510) 796-4500

Fax

(510) 796-4573

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Sarbjit Singh Hundal, M.D.NPI 1871504605

Title

Doctor

Phone

(510) 796-4500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mission Valley Eye Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• East Bay Eye Centers Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
  • NPI 1952432122

  9537220660

  Same PAC ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarbjit Singh Hundal, M.D.

  • Ophthalmology Physician
  • Fremont, CA
  • NPI 1871504605
  Medicare reassignment Care Compare group NPD Authorized official
• Monika Chugh, O.D

  • Optometrist
  • Fremont, CA
  • NPI 1164541959
  Medicare reassignment Care Compare group NPD
• Shashi D Ganti, MD

  • Ophthalmology Physician
  • Porterville, CA
  • NPI 1023037215
  Medicare reassignment Care Compare group NPD
• Vikram Aditya Shankar, MD

  • Glaucoma Specialist (Ophthalmology) Physician
  • Stanford, CA
  • NPI 1891298634
  Medicare reassignment NPD
• Gregory L Tom, O.D.

  • Corneal and Contact Management Optometrist
  • San Ramon, CA
  • NPI 1124245568
  Medicare reassignment NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1962413708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39263 MISSION BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393037",
            "telephone_number": "510-796-4500",
            "fax_number": "510-796-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39263 MISSION BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393037",
            "telephone_number": "510-796-4500",
            "fax_number": "510-796-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARBJIT SINGH HUNDAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "HUNDAL",
        "authorized_official_first_name": "SARBJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "510-796-4500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A34847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0052790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Valley Eye Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilana E Santizo
• Chester Maulion Santos, PROGRAM COORDINATOR
• Linda Santos
• Katherine Rose Saraceno
• Tauqeer Sarang, DDS
• Mary Ann Sarda-Maduro, M.D.
• Kimiyo Tiffany Aqua Sarena
• Tiffany Faye Sarrach, LCSW
• Chad Eric Sarver, MD
• Ruby J Sasinski, AMFT

• Ophthalmology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.