Joseph Sidikaro, M.D., PH. D

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

C40996 Issued in CA

Practice address

435 N Roxbury Dr Ste 410
Beverly Hills, CA 90210-5006

Phone

(310) 858-6569

Fax

(310) 858-3922

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1023197241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105006",
            "telephone_number": "310-858-6569",
            "fax_number": "310-858-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105006",
            "telephone_number": "310-858-6569",
            "fax_number": "310-858-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDIKARO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D., PH. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C40996",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "C40996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Shoff, DMD
• Carolin Shoham, PH.D.
• Norman Shorr, M.D.
• Whitney Elizabeth Showler, MA, LMFT
• Carl H Shubs, PHD
• Matthew T Siedhoff, MD
• Gabriella Calo Siegel, PSY.D.
• Robert J Siegel, M.D.
• Beth A Siegler, M.D.
• Izolda Sigal-Liberman, PH.D.

• Retina Specialist (Ophthalmology) Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.