Healthcare Provider Details

I. General information

NPI: 1205386489
Provider Name (Legal Business Name): AMINDER SANDHU PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMINDER GILL

II. Dates (important events)

Enumeration Date: 10/11/2016
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9710 BRIMHALL RD
BAKERSFIELD CA
93312-2779
US

IV. Provider business mailing address

9710 BRIMHALL RD
BAKERSFIELD CA
93312-2779
US

V. Phone/Fax

Practice location:
  • Phone: 661-829-6747
  • Fax: 661-829-6937
Mailing address:
  • Phone: 661-829-6747
  • Fax: 661-829-6937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA59923
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number020134-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA11677
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: