Provider Demographics
NPI:1144287186
Name:SANDHU, SARABJIT SINGH (MD)
Entity type:Individual
Prefix:
First Name:SARABJIT
Middle Name:SINGH
Last Name:SANDHU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 SAN MIGUEL DR STE 210
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7808
Mailing Address - Country:US
Mailing Address - Phone:949-642-7757
Mailing Address - Fax:949-682-7502
Practice Address - Street 1:359 SAN MIGUEL DR STE 210
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7808
Practice Address - Country:US
Practice Address - Phone:949-642-7757
Practice Address - Fax:949-682-7502
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA477742084F0202X, 2084P0804X, 2084P0805X, 2084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A477740Medicaid
CAA47774OtherTHE MEDICAL BOARD OF CALIFORNIA
CD946ZMedicare PIN
CAA47774OtherTHE MEDICAL BOARD OF CALIFORNIA
CA00A477740Medicaid