Pacific Kidney & Hypertension Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A104576 Issued in CA

Legal business name

PACIFIC KIDNEY & HYPERTENSION INC

Practice address

1805 N California St Ste 303
Stockton, CA 95204-6033

Phone

(209) 888-4340

Fax

(209) 888-4371

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Randeep Singh BajwaNPI 1083611594

Title

Owner

Phone

(209) 888-4340

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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 1

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.

• Randeep Singh Bajwa, MD

  • Nephrology Physician
  • Stockton, CA
  • NPI 1083611594
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1972819803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST STE 303",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046033",
            "telephone_number": "209-888-4340",
            "fax_number": "209-888-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST STE 303",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046033",
            "telephone_number": "209-888-4340",
            "fax_number": "209-888-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1144 Norman Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953365960",
            "country_code": "US",
            "telephone_number": "209-888-4340",
            "fax_number": "209-888-4671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PACIFIC KIDNEY & HYPERTENSION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "RANDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-888-4340"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A104576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Medical Center Incorporated a Professional Corporation
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• Pacific Dermatology Medical Associates, Inc (Quail Lakes Dermatology)
• Pacific Heart and Vascular Medical Group
• Pacific Medical, Inc
• Pacific Medical, Inc.
• Pacific Sleep Disorders Center a California General Partnership (Pacific Sleep Disorders Center)
• Pacific Urgent Care Inc
• Pacific Valley Recovery Center Incorporated (N/a)

• Nephrology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.