Active NPI
Uzair Siddiqui, MD
- Family Medicine Physician
- San Bernardino, CA
National Provider Identifier
1083099816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A153755
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191030001209 | CA | Practitioner - Family Practice | 4981936689 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153755 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Toiyabe Indian Health Project, Inc | Current | Accepting new patients | |
| Toiyabe Indian Health Project, Inc | Current | Accepting new patients | |
| First Health Medical Center of Fresno Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Bishop, CA
- NPI 1659433191
CA
-
- Clinic Pharmacy
- Bishop, CA
- NPI 1093720609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.