Amrik Singh Sidhu, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A36952 Issued in CA

Practice address

1503 E March LN
Stockton, CA 95210-5622

Phone

(209) 462-7277

Fax

(866) 950-0134

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

State licenses

Practice roles

Locations

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

• Gill Medical Associates, Inc.

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1578149076

  Family Medicine

  Medicare reassignment NPD
• Life Family Medicine Clinic, Inc

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1063815165
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1073618500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1434",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952411434",
            "telephone_number": "209-462-7277",
            "fax_number": "866-950-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 E MARCH LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952105622",
            "telephone_number": "209-462-7277",
            "fax_number": "866-950-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "AMRIK",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-01-12",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A36952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A369520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• VA Si, MD
• Sean Siador
• Trisha Ann Siangco
• Lisakatie Siar
• Khaleeq Hussain Siddiqui, M.D.
• Chelsea Sidhu, NP-C
• Jaspreet Sidhu, DO
• Ramandeep Sidhu, M.D.
• Rohanjit S. Sidhu, M.D.
• Shivjitinder Sidhu, M.D.

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.