MEDICARE: RANDEEP SINGH BAJWA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	A104576	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083611594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDEEP SINGH BAJWA MD

Provider Business Mailing Address
First Line	:	1805 N CALIFORNIA ST
Second Line	:	STE 303
City	:	STOCKTON
State	:	CA
Zip	:	95204-6033
Country	:	US
Telephone Number	:	209-943-0851
Fax Number	:	209-943-0137

Provider Business Practice Location Address
First Line	:	1805 N CALIFORNIA ST
Second Line	:	STE 303
City	:	STOCKTON
State	:	CA
Zip	:	95204-6033
Country	:	US
Telephone Number	:	209-888-4340
Fax Number	:	209-888-4371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/07/2023

Similar Medicare Providers

1043172760 — PENNISI MEDICAL GROUP
Practice Location Address:

1805 N CALIFORNIA ST STE 406
STOCKTON, CA
95204-6033

Practice Phone: 209-277-7806
Practice Fax: 209-851-3853

1649253881 — DR. RICHARD O CAMACHO MD
Practice Location Address:

1805 N CALIFORNIA ST STE 406
STOCKTON, CA
95204-6033

Practice Phone: 209-227-7806
Practice Fax: 209-851-3853

1275591000 — RANDHIR H SINGH MD
Practice Location Address:

1805 N CALIFORNIA ST STE 409
STOCKTON, CA
95204-6033

Practice Phone: 209-476-0900
Practice Fax: 209-476-0909

1760506513 — BUHARI & DEGUZMAN, INC. A MED CORP
Practice Location Address:

1805 N CALIFORNIA STREET , SUITE 401
STOCKTON, CA
95204-6033

Practice Phone: 209-477-4421
Practice Fax: 209-477-7211

1972819803 — PACIFIC KIDNEY & HYPERTENSION INC
Practice Location Address:

1805 N CALIFORNIA ST STE 303
STOCKTON, CA
95204-6033

Practice Phone: 209-888-4340
Practice Fax: 209-888-4371

1841549607 — SHIVJITINDER SIDHU M.D.
Practice Location Address:

1805 N CALIFORNIA ST STE 303
STOCKTON, CA
95204-6033

Practice Phone: 209-888-4340
Practice Fax:

Directions to “ RANDEEP SINGH BAJWA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.