Individual provider Active NPI

Rupal S. Sidhu

  • Family Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1114033594
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10458 Issued in NV
Practice address
7052 Orangewood Ave Ste 6
Garden Grove, CA 92841-1419
Phone
(714) 903-1100
Fax
(714) 903-1055
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A83018 CA
Family Medicine Physician 207Q00000X 10458 NV Primary

Addresses

Primary practice location

7052 Orangewood Ave Ste 6
Garden Grove, CA 92841-1419

Mailing address

7537 S Rainbow Blvd Ste 107
PMB 123
Las Vegas, NV 89139-0552
Phone (612) 703-6936

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
I20160601002564 CA Practitioner - Family Practice 2769442946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, 35 clinicians

Practice addresses (Care Compare)

7052 Orangewood Ave
Suite 6
Garden Grove, CA 92841-1419
Phone (714) 903-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. CurrentSince Feb 5, 2023 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Feb 5, 2023 Accepting new patients

Locations

7052 Orangewood Ave
Ste 6
Garden Grove, CA 92841
Phone (714) 903-1000

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1114033594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 S RAINBOW BLVD STE 107",
            "address_2": "PMB 123",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390552",
            "telephone_number": "612-703-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7052 ORANGEWOOD AVE STE 6",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411419",
            "telephone_number": "714-903-1100",
            "fax_number": "714-903-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "RUPAL",
        "middle_name": "S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83018",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "10458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.