NPIMap

Individual provider Active NPI

Jatinder Sidhu, NP

  • Family Nurse Practitioner
  • Madera, CA
National Provider Identifier
1073232484
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021861 Issued in CA
Practice address
344 E 6TH St
Madera, CA 93638-3631
Phone
(559) 313-7153
NPI assigned
Aug 26, 2022
Last updated
Dec 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021861 CA Primary

Addresses

Primary practice location

344 E 6TH St
Madera, CA 93638-3631

Mailing address

730 N I St Ste 202
Madera, CA 93637-3077
Phone (559) 313-7153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221115001853 CA Practitioner - Nurse Practitioner 1456729912 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5186 Hospital Rd
Mariposa, CA 95338-9524
Phone (209) 966-3631

5189 Hospital Rd
Mariposa, CA 95338-9524
Phone (209) 966-3631

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95021861CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Jan 4, 2023 Accepting new patients
John C Fremont Healthcare District CurrentSince Nov 1, 2024 Accepting new patients
Camarena Health CurrentSince Jan 4, 2023 Accepting new patients
Long Term Care Medical Group, Inc CurrentSince Oct 1, 2022 Accepting new patients
John C Fremont Healthcare District Current Accepting new patients
John C Fremont Healthcare District CurrentSince Nov 1, 2024 Accepting new patients
Camarena Health Family Current Accepting new patients

Locations

685 W Alluvial Ave
Ste 103
Fresno, CA 93711

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

344 E 6th St
Madera, CA 93638
Phone (559) 664-4158

730 N I St
Ste 202
Madera, CA 93637

5186 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-0850

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/fremont-d0489e1b
  • Direct secure messaging: jsidhu2711864@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1073232484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N I ST STE 202",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373077",
            "telephone_number": "559-313-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 E 6TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383631",
            "telephone_number": "559-313-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JATINDER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.