Individual provider Active NPI

Uzair Siddiqui, MD

  • Family Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1083099816
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A153755 Issued in CA
Practice address
665 N D St
San Bernardino, CA 92401-1109
Phone
(909) 708-8158
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A153755 CA Primary

Addresses

Primary practice location

665 N D St
San Bernardino, CA 92401-1109

Mailing address

665 N D St
San Bernardino, CA 92401-1109
Phone (909) 708-8158

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191030001209 CA Practitioner - Family PracticePractitioner - Neurology 4981936689 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A153755CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toiyabe Indian Health Project, Inc CurrentSince Mar 1, 2023 Accepting new patients
Toiyabe Indian Health Project, Inc CurrentSince Mar 1, 2023 Accepting new patients
First Health Medical Center of Fresno Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

250 N See Vee Ln
Bishop, CA 93514
Phone (760) 873-8461

7161 N Howard St
Ste 100
Fresno, CA 93720
Phone (559) 227-2273

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1083099816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011109",
            "telephone_number": "909-708-8158",
            "fax_number": "909-380-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011109",
            "telephone_number": "909-708-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUI",
        "first_name": "UZAIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A153755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.