MANJINDER S RANDHAWA NP
NPI 1104410430
Nurse Practitioner in Yuba City, CA

Q: What is Manjinder Randhawa's NPI number?

The NPI number for Manjinder Randhawa is 1104410430. It was assigned to this individual provider in the NPPES registry on February 26, 2021.

Q: What is Manjinder Randhawa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since February 26, 2021PECOS Enrolled

1260 WILLIAMS WAY, YUBA CITY, CA 95991(530) 751-4295(530) 749-4906 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2021, Feb 26, 2021 (2 updates tracked since 2021).

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About Manjinder S Randhawa Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANJINDER S RANDHAWA NP (NPI 1104410430) is an individual nurse practitioner in Yuba City, California, licensed in California (F09200045) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104410430

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMANJINDER S RANDHAWACredential: NP

Location Address1260 WILLIAMS WAYYuba City, CA 95991-2400

Mailing Address1168 Sanborn RdYuba City, CA 95993-6045 · (530) 300-7815

Phone(530) 751-4295

Fax(530) 749-4906

Sole ProprietorNo

Enumeration DateFebruary 26, 2021

Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration

NPPES CertifiedMarch 3, 2021

✔ NPI 1104410430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · F09200045

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1260 WILLIAMS WAY, Yuba City, CA 95991

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manjinder S Randhawa Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Manjinder Randhawa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Specialty Physicians Group Inc

110 mi

Emergency Medicine

700 17TH ST STE 205
Modesto, CA 95354

Reassigned Medicare billing, California enrollment
180 clinicians in this Medicare group

NPI 1164363024 (877) 346-2211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95991 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UPPERS LLC

Skilled Nursing Facility