Hina Sidhu, M.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HINA SIDHU, M.D., INC.

Practice address

1400 N Harbor Blvd Ste 540
Fullerton, CA 92835-4142

Phone

(714) 871-9357

Fax

(714) 871-9362

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Hina Sidhu, MDNPI 1194919803

Title

Owner/Provider

Phone

(714) 871-9357

Specialties & licenses 1

Addresses

Other names 1

• Reviv Functional Psychiatry & TMS Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hina Sidhu, M.D.

  • Psychiatry Physician
  • Fullerton, CA
  • NPI 1194919803
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1114335239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 540",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354142",
            "telephone_number": "714-871-9357",
            "fax_number": "714-871-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N HARBOR BLVD STE 540",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354142",
            "telephone_number": "714-871-9357",
            "fax_number": "714-871-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINA SIDHU, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "HINA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "714-871-9357",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reviv Functional Psychiatry & TMS Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremisha Hill
• Shanae Angelic Hill
• Kelly Hilliard, PT
• Valerie Ann Hillis, NP
• Jaide A Hilton-Welles
• Mohammad Hindi
• Monal Hingu, RDH, RDHAP
• Lauren Hinton
• Louis Michael Hinzo, R.A.S.
• Emily Grace Hipwell, PA-C

• Psychiatry Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.