Healthcare Provider Details

I. General information

NPI: 1144287186
Provider Name (Legal Business Name): SARABJIT SINGH SANDHU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 SAN MIGUEL DR STE 210
NEWPORT BEACH CA
92660-7808
US

IV. Provider business mailing address

359 SAN MIGUEL DR STE 210
NEWPORT BEACH CA
92660-7808
US

V. Phone/Fax

Practice location:
  • Phone: 949-642-7757
  • Fax: 949-682-7502
Mailing address:
  • Phone: 949-642-7757
  • Fax: 949-682-7502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberA47774
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA47774
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberA47774
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA47774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: